I have several years of experience providing letters of recommendation for accessing gender affirming care. I operate from an informed consent model, where my goal is to make sure you are well-informed and resourced to undergo medical transition. I also follow any clinic guidelines and insurance requirements for this letter. I am happy to do a one-time consultation with you to assess your readiness for gender affirming care, even if you do not feel like you need ongoing support from me.

I do not currently write emotional support animal letters or disability accommodation letters unless you are a current client. This allows me to better advocate for you and your needs.