Incredible Gender Affirming Surgery Letter Template
Incredible Gender Affirming Surgery Letter Template. Suite 1010 san francisco, ca 94108 [email protected] 415.780.1515. Dear [surgeon’s name], 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.
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Web collaboratively to complete surgery letters of support using an empowerment/liberation health model. Facial feminization surgery (ffs) genital surgical procedures (vaginoplasty and phalloplasty) psychiatry and mental health services; Web research consistently shows that people who choose gender affirmation surgery experience reduced gender incongruence and improved quality of life.
• If You Are Currently Receiving Gender Affirming Hormone Treatment, Are You Aware That You May Be Required To Stop It Before The Surgery Takes Place?
Why do i need a letter of readiness for some surgeries? They identify as [gender identity] and go by [pronouns]. I am a [therapist/mental health professional, etc.
Date That You Established Care With That Clinic Or Provider.
At present we have limited capacity to provide these referral letters at ucsf. Web a referral letter template can be found on the apa website. Unsure what to include in a support letter for surgery?
Web Collaboratively To Complete Surgery Letters Of Support Using An Empowerment/Liberation Health Model.
They note that they first knew their gender identity differed from their assigned sex at age [age]. 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. Letter of support from a primary care provider or whomever is prescribing hormones if applicable.
1 Mental Assessment Letter From A Licensed Mental Health Provider.
Compose and modify template letters for common gender affirming surgeries. Though wpath has released the new soc, it will take insurance companies time to evolve. Web the following letter is in support of patient’s request for hysterectomy due to gender dysphoria.
I Am Writing This Letter On Behalf.
Suite 1010 san francisco, ca 94108 [email protected] 415.780.1515. Web • how do you foresee the surgery helping to affirm your gender? (insert name) was seen on (insert dates) for consideration of male chest contouring in the context of medical transition.
