Letter Requirements

CONSULTATION: Letters are not required, but recommended for the consultation.

 

REVISION CONSULTATIONS: Most insurance companies do require copies of the original recommendation letters in order to process the surgery authorization. We will discuss this with you upon scheduling. 

SURGERY SCHEDULING: In order to secure a surgery date, you will need to submit the letter requirements indicated below. If you submit your letters prior to your consultation, please be advised that they must be dated within 12-months of your surgery and will need to be revised.

 

 

GENERAL: 3 LETTERS OF RECOMMENDATION REQUIRED

  • One letter from your prescribing physician for your hormone therapy

  • One letter from a psychiatrist or psychologist (PhD or MD)

  • One letter from your current mental health provider (LMFT, LCSW, etc.)

* PLEASE MAKE SURE ALL LETTERS ARE SIGNED AND DATED BY YOUR PROVIDERS*

WPATH Approved Letters of Recommendation for gender affirming bottom surgery includes:

  1. The patient's general identifying characteristics.

  2. The initial and evolving gender, sexual and other psychiatric diagnoses.

  3. The duration of their professional relationship, including the type of psychotherapy or evaluation that the patient underwent.

  4. The eligibility criteria that have been met and the mental health professional's rationale for hormone therapy or surgery.

  5. The degree to which the patient has followed the Standards of Care to date and the likelihood of future compliance.

  6. Whether the author of the report is part of a gender team.

  7. That the sender welcomes a phone call to verify the fact that the mental health professional actually wrote the letter as described.