Amanda Helton, AMFT #160640

Relational, de-colonial therapy that honors context, identity, and lived experience

Gender-Affirming Care Letters

I offer focused assessments for individuals seeking letters of support for gender-affirming surgery, HRT, and other affirming care.

You do not need to be an ongoing therapy client to receive an assessment for this care.

The evaluation is conducted in accordance with the WPATH Standards of Care (Version 8) and includes a discussion of your gender history, goals, informed consent, and any relevant psychosocial factors.

Letters are authored by me and reviewed and co-signed by my licensed supervisor.

Most surgeons and insurance companies accept AMFT-authored letters with LMFT supervision, though I encourage you to verify your specific requirements before scheduling.

Many assessments can be completed in a single appointment, though additional sessions may be recommended depending on your circumstances or documentation requirements.

When clinical criteria are met, I will prepare a personalized support letter for your surgeon, physician, and/or insurance provider.

To schedule an assessment for a gender-affirming care letter, please contact me using the form below.

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Thank you for your inquiry!

I will be in touch with you shortly to follow up about your consultation.
Are you interested in ongoing therapy in addition to a gender-affirming care assessment?
Does your insurance and/or medical provider have specific documentation requirements (e.g. specific information that must be included in the letter)?