Need a letter for gender-affirming medical care? 

Submit this form and I’ll get back to you asap.

This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.

I will always make space for people over 18 who need a

 letter to access gender-affirming medical care. I use the ​informed consent framework for writing letters and typically require only one appointment.

 I realize insurance companies and surgeons have requirements for letters 

and I want to help you deal with the gate-keeping by providing a letter in the easiest way possible. You will finish your appointment with your signed, completed letter. 

More info about informed consent care and gatekeeping: