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Letters for gender-affirming care

Support letters for hormone therapy and surgery, aligned with WPATH Standards of Care, Version 8, written collaboratively and quickly.

A quiet row of red brick Philadelphia row houses with white marble stoops and potted plants

Many surgeons and some insurance plans still ask for a letter from a mental health professional. I think of that letter as paperwork you are entitled to, and I make the process as simple and respectful as I can.

I follow the WPATH Standards of Care, Version 8, which center informed consent and your own understanding of your gender. The sessions are a conversation about your goals, your support and your readiness for recovery, never a test of whether you are trans enough.

You can see a Rowhouse therapist only for a letter, or as part of ongoing therapy.

Ready when you are.

Book a free 15 minute consult. No forms beforehand, no pressure after.