Letters of Support

Letters of Support for Gender Affirming Medical Care

For adults (18 +) in CA: I provide evaluations & letters of support for gender affirming medical care.

I accept San Diego Medi-Cal. For everyone else, there will be a one time fee for this service.

Contact me & we’ll talk on the phone for a 10-15 min. screening.

Then we’ll schedule to meet for the evaluation (I suggest by video).

We’ll schedule for 1 hour, although I often don’t need that full time.

I’ll send you an email with a demographic form to complete & all the required Informed Consent forms will come from my electronic health record, Therapy Notes.

I’ll also ask you to complete a few symptom surveys as well

Having symptoms or a mental health diagnosis will not keep me from writing you a letter. Even if you hear voices.

We’ll meet for the eval so that I can get the info I need from you for the letter.

It’s my job to verify you are generally a competent adult who is able to make informed decisions for yourself & that you are in contact with reality.

If I have no concerns (which is rare), then I will draft a letter for you within a week of our meeting.

I’ll send you the letter to review so that you know what’s in it & to verify there are no inaccuracies.

If there are no corrections then I’ll send you a signed, PDF version of the letter.

Typically this letter will remain good for one year (this is an insurance issue, not mine).