We are happy to provide gender support letters at no additional cost to you (we will bill your insurance for a standard session but will not charge extra for writing the letter) and do our best to accommodate short-term appointments (often 1-2 sessions), even if we do not have the space to take you on as a longer-term client. We utilize WPATH Standards of Care in writing our letters and aim to get letters to you within a few weeks of your last appointment to not further delay any treatment options for you. We often work short-term with clients who are already engaged in care with other therapists who may have less experience with writing letters or with LGBTQ folks and that is okay! You can get your letter from us and continue to see your already established therapist! We are a preferred partner of University of Michigan Gender Clinic.