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gender-affirming surgery letters.

I write letters of support for all gender-affirming surgeries for people living in Washington state.

If you are over the age of 18 and in need of a letter from a Licensed Mental Health professional, I can generally complete a letter in one session. This can apply to folks under 18 as well, though there may be other parental and familial considerations to attend to. Ongoing therapy is not required.

​The cost is $180 for the 55 minute session. I collect half of the fee when the appointment is scheduled and the other half after the session. 

If your doctor is requiring a letter from a Licensed Mental Health Professional to begin Hormone Replacement Therapy (HRT), please note that informed consent is considered best practice and there are other physicians that will not require a letter. This rule also applies to some gender-affirming surgeries, however insurance companies generally require a letter from a Licensed Mental Health Professional for surgery to be covered.

​Click here for more information on informed consent and the role of a Mental Health Professional.

I am unfortunately not able to write letters for people who live outside of Washington State. If you live outside of WA and are looking for a letter, you're welcome to send me an email and I can respond with some info and suggestions for finding a qualified therapist licensed in your state.

916 E. Miller St.
Seattle, WA 98102
P: 206.745.2621
F:​ 844.364.8334
elliot@qtherapyseattle.com
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  • Home
  • Services
    • Youth and Families
    • Adults
    • Gender-Affirming Surgery Letter
    • Consultation
    • Supervision
    • Training
  • ABOUT
  • Contact
  • FAQ
  • Resources