For referring mental health providers

If you are providing a letter of support for a patient to begin gender affirming hormones, the following are helpful to include in the letter:

  • The client’s general identifying characteristics
  • Results of the client’s psychosocial assessment, including any diagnoses
  • The duration of the referring health professional’s relationship with the client, including the type of evaluation and therapy or counseling to date
  • An explanation that the criteria for hormone therapy have been met, and a brief description of the clinical rationale for supporting the client’s request for hormone therapy
  • A statement about the fact that informed consent has been obtained from the patient
  • A statement that the referring health professional is available for coordination of care and welcomes a phone call to establish this

Please fax letters to 402.559.9833.

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