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 6-12-months of your surgery and will need to be revised.
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.)
* PLEASE MAKE SURE ALL LETTERS ARE SIGNED AND DATED BY YOUR PROVIDERS*
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.
*We are aware of the WPATH SOC8 that was recently released. However, we are currently following SOC7 since insurance companies take time to update their requirements.