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*Some providers may still require a letter as part of their policy. But it is not required by California law. If you need some names of providers (or if you are a provider) who offer this service, please contact us. If you are seeking gender affirming surgery, your surgeon may require more than one letter.
In order for a transgender person to receive gender affirming medical care in the US, a letter from a licensed therapist, psychologist, or psychiatrist is typically required.
A therapists letter is not required to begin hormone therapy at our health centers. However, many patients express an interest in therapy and report that they find it beneficial, particularly during what can often be an exciting and stressful time.
Letters of support for gender-affirming surgery are required by the international transgender organization WPATH in order to ensure that patients are appropriate and prepared for their upcoming gender surgery. They help surgeons prepare and get paid for these surgeries.
As per the World Professional Association for Transgender Healths Standards of Care, 7th Ed, referral letters - for hormone therapy, puberty blockers and/or gender affirming surgical procedures - can be written by masters-level, mental health professionals.
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Referral Letter: o Your letter writer must be a licensed mental health provider willing and able to write a referral letter for you to start HRT. o You will need to meet with your provider face-to-face (in-person). o If your provider has a limited license, their fully licensed supervisor will need to cosign their
Referral Letter: o Your letter writer must be a licensed mental health provider willing and able to write a referral letter for you to start HRT. o You will need to meet with your provider face-to-face (in-person). o If your provider has a limited license, their fully licensed supervisor will need to cosign their
In order for a transgender person to receive gender affirming medical care in the US, a letter from a licensed therapist, psychologist, or psychiatrist is typically required.

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