Free Gender Affirming Surgery Letter Template. Min read this article was updated 7/12/23. Web a referral letter template can be found on the apa website.
Gender Affirming Surgery Letter home from www.drmonicalake.com
Web affirming surgeries, including letters of readiness. [name or pronoun] is [years old] living in. Client name (and name used if different than insurance name) dob:
Compose And Modify Template Letters For Common Gender Affirming Surgeries.
(insert name) was seen on (insert dates) for consideration of male chest contouring in the context of medical transition. Client name (and name used if different than insurance name) dob: Web affirming surgeries, including letters of readiness.
Depending On The Procedure, 94% To 100% Of People Report Satisfaction With Their Surgery Results.
1 mental assessment letter from a licensed mental health provider. Documentation to accompany surgical referral: Web medical letter of support for gender affirming surgery.
These Two Resources Can Be Helpful:
Web dear doctor, [patient name] is a patient in my care at [your practice name]. 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 a referral letter template can be found on the apa website.
Unsure What To Include In A Support Letter For Surgery?
Dear [today's date], i am writing you today to assert my full support for [legal name], who identifies as [name or pronoun] to receive a gender confirming top surgery. Letter of support from a primary care provider or whomever is prescribing hormones if applicable. Patients may undergo assessment by and provide a referral letter from their own outside mental health or medical providers.
Web Collaboratively To Complete Surgery Letters Of Support Using An Empowerment/Liberation Health Model.
I am a [therapist/mental health professional, etc. I am writing this letter on behalf. They identify as [gender identity] and go by [pronouns].
