Elegant Top Surgery Therapist Letter Template. Referred to as top surgery. Does anyone have any advice on what needs to be in the letter for insurance to approve.
Web dear doctor, [patient name] is a patient in my care at [your practice name]. [name or pronoun] is [years old] living in [location]. My therapist agreed to write the letter, but they have never written one before.
[name of patient] patient dob: [name or pronoun] is an [occupation] and is living [accommodations]. They identify as [gender identity] and go by [pronouns].
Please give names and ages in the yes or no category. Charles garramone on the above mentioned patient. “bottom or lower surgery” • genital reconstructive surgery (grs) phalloplasty, commonly referred to as:
File an appeal if you are denied coverage (appeal letter template included.) Web determine if your insurance plan covers top surgery; Web ~on letterhead~ sample short referral letter for top surgery date address of surgeon re:
Web 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. The letter helps a surgeon who is just starting to get to know you evaluate your needs, and understand your situation and medical history in a more thorough way. They note that they first knew their gender identity differed from their assigned sex at age [age].
Web given that (insert name) is (insert age) years of age and thus is recognized as the age of majority, this letter will discuss the wpath criteria recommended for adults requesting top surgery, namely bilateral mastectomy and chest contouring (or chest surgery). Mosser follows the informed consent model and generally does not require letters for ftm/n or mtf/n top surgery, or other 28) the client’s general identifying characteristics (their appearance, to prevent letter swapping) the duration of the mental health professional’s relationship with the client, including the type of evaluation and therapy or counseling to date.
