Letter Requirements
GENERAL: 3 LETTERS OF RECOMMENDATION REQUIRED
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One letter from your prescribing physician for your hormone therapy
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One letter from a psychiatrist or psychologist (PhD or MD)
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One letter from your current mental health provider (LMFT, LCSW, etc.)
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Important note: letters have to be updated once surgery is scheduled. Insurance companies are requiring that they are dated within 6-12 months of surgery.
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WPATH Approved Letters of Recommendation for gender affirming bottom surgery includes:
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The patient's general identifying characteristics.
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The initial and evolving gender, sexual and other psychiatric diagnoses.
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The duration of their professional relationship, including the type of psychotherapy or evaluation that the patient underwent.
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The eligibility criteria that have been met and the mental health professional's rationale for hormone therapy or surgery.
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The degree to which the patient has followed the Standards of Care to date and the likelihood of future compliance.
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Whether the author of the report is part of a gender team.
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That the sender welcomes a phone call to verify the fact that the mental health professional actually wrote the letter as described.
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NOTE: Letters are generally not required for patients who are seeking revision surgery and have already had gender confirmation surgery, if performed by the same surgeon.