Hormone Readiness Evaluations:

I also offer hormone readiness evaluations (for offices that do not practice the informed consent model) and write letters for gender confirmation surgeries.

Gender Affirmation Evaluations:

I follow WPATH standards and write letters for gender confirmation (top and bottom) surgeries.

How long is a typical gender affirmation surgery evaluation for top surgery/bottom surgery, etc.?

Typically between 1-1.5 hours depending on your history (any previous evaluations, reports, mental health concerns, etc.).

My goal is not to be a gate-keeper but instead to help you reach your goals. 

However, I do follow the World Professional Association of Transgender Health (WPATH) standards which states:

  1. Persistent, well-documented gender dysphoria
  2. Capacity to make a fully informed decision and to consent for treatment
  3. Be of the age of majority in the country of surgery (and follow SOC rules for children and adolescents*)
  4. Significant medical or mental health concerns, if present, must be reasonably well controlled at the time of surgery

My evaluation consists of a thorough clinical interview, review of any previous medical/mental health records, review of any letters of endorsement by past therapists, and a questionnaire to assess for current mental health functioning.

If you meet all of the above criteria, I will provide a letter indicating the medical necessity of the gender affirmation surgery directly to your provider and/or insurance company (with a signed release of information) within 5-7 business days. I will also provide you with a copy.

If your application for gender affirmation surgery is denied or rejected for a specific reason, I am more than happy to work with you to re-write a compelling and strongly-worded appeal letter.