Gender-affirming Letters

NOTE: WE ARE ONLY ABLE TO PROVIDE LETTERS TO FOLKS IN TEXAS.

If you live in another state, please email us at hello@vadacounseling.com to get a referral to a therapist who can write letters in your state.

Most surgeons and insurance companies follow the WPATH Standards of Care which requires at least one letter from a therapist prior to undergoing gender-affirming surgery. Some clinics also require a letter for Hormone Replacement Therapy (HRT), also known as Gender-Affirming Hormone Therapy (GAHT).

Our staff has years of experience providing support letters for HRT/GAHT, top surgery, bottom surgery, and various other feminizing, masculinizing, or non-binary affirming interventions. We’re also happy to give you referrals and resources for further education.

We believe in improving access to transgender healthcare and eliminating unnecessary gatekeeping, so we provide these letters for free. Forreal. We don’t charge for the consultation appointment or the letter itself.