Elegant Top Surgery Therapist Letter Template

Elegant Top Surgery Therapist Letter Template. “bottom or lower surgery” • genital reconstructive surgery (grs) phalloplasty, commonly referred to as: They identify as [gender identity] and go by [pronouns].

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“i’m aware that seeing a therapist/doctor for a letter is a requirement, not a choice that you’ve made. Web dear doctor, [patient name] is a patient in my care at [your practice name]. Web surgery referral letters are one of the first steps to pursuing gender affirming surgery.

Please Give Names And Ages In The Yes Or No Category.

Web here's one from a surgeon. Every patient is expected to submit the required letter(s) prior to their consultation appointment. Web writing letters of support to insurers and surgeons.

They Have Been A Patient Here Since [Date].

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). Web identification of the procedure and diagnosis (per wpath soc p. [name or pronoun] is [years old] living in [location].

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 certify the above is true and correct, to the best of my knowledge, and have completed this form to serve as a recommendation and a referral for ftm top surgery® procedure (female to male gender reassignment chest surgery) to be performed by dr. Web determine if your insurance plan covers top surgery;

Charles Garramone On The Above Mentioned Patient.

Assure the client/patient is a good candidate for surgery (consult surgery endorsement letter if needed or possible). Web do your children know of your plans to have this surgery? Assure the surgery is the next reasonable step to treat patient’s.

Surgery Cannot Be Scheduled Until All Letters Have Been Received And Meet The Requirements Outlined In This Document.

Web surgery referral letters are one of the first steps to pursuing gender affirming surgery. [name or pronoun] is an [occupation] and is living [accommodations]. [name of patient] patient dob: