Trendy Gender Affirming Surgery Letter Template. They note that they first knew their gender identity differed from their assigned sex at age [age]. Web dear doctor, [patient name] is a patient in my care at [your practice name].
Compose and modify template letters for common gender affirming surgeries. They identify as [gender identity] and go by [pronouns]. Patients may undergo assessment by and provide a referral letter from their own outside mental health or medical providers.
I, [provider name}, washington state license [license number], am the medical provider of [chosen first name last name], (legal name [legal first name last name]), dob xx/xx/xxxx, whom i have been treating for gender dysphoria since. Web writing letters of support to insurers and surgeons. I am a [therapist/mental health professional, etc.
How might this effect you? • can you say what you know so far about the surgery itself and what you expect? Web please use this fillable mental health letter of support template to complete the letter.
(insert name) was seen on (insert dates) for consideration of male chest contouring in the context of medical transition. • two patient identifier s (legal name/name on insurance , date of birth) Client name (and name used if different than insurance name) dob:
Social transition age and details (hairstyle, name, pronouns) legal name changes or plans about doing so (gender marker on identity documents, or. Web the purpose is to maximize breast growth in order to obtain better surgical aesthetic. Depending on the procedure, 94% to 100% of people report satisfaction with their surgery results.
Web research consistently shows that people who choose gender affirmation surgery experience reduced gender incongruence and improved quality of life. Web separate letter (s) are required for each surgery sought (this is an insurance requirement). Web wpath surgery letter template.
