Sample Referral Letters for Hormone Therapy and Gender-Confirming Surgeries

Often insurance companies who cover hormone replacement therapy and gender-confirming surgeries require a letter from a therapist or a doctor confirming that transgender clients are able to give informed consent about the medical care they are seeking, and/or have fulfilled certain requirements needed before surgery. You may need to provide:…

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Erin Davis, MA, NCC – Marion

counseling

Erin Davis, MA, NCC Family Service Society, Inc. 101 S. Washington Street Marion, IN 46952 Therapist Phone: (765) 662-9971 ext. 122 Website: http://famservices.com Email: edavis@famservices.com Familiar with WPATH SOC v.7?: Yes Provides Referral Letters for HRT?: Yes Provides Referral Letters for Surgeries?: Yes Experience working with trans-identified persons?: This therapist…

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Kelly Bishop Bohren, LCSW

counseling

Kelly Bishop Bohren, LCSW 8 N. Morgan Blvd Valparaiso, IN 46383 Clinic or Practice: Private Practice Therapist Phone: 219-464-9495 Email: kbishopbohren@gmail.com Familiar with WPATH SOC v.7?: Yes Provides Referral Letters for HRT?: Yes Provides Referral Letters for Surgeries?: Yes Experience working with trans* identified persons?: Received initial training while working…

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Jeanne Harber-Porter, MSW, LCSW, ACSW – Fort Wayne

counseling

map of all Therapists & Counselors Jeanne Harber-Porter Consulting & Counseling Associates 4214 Hobson Court Fort Wayne, IN 46815 Phone: (260) 486-5251 Website: http://www.ccagroup.org/ email: jporter@cca.org Transition-Related Services: Counseling, Letters for Transition-Related Care Other Care Services: Psychological Care Payment: Accepts some forms of insurance – visit website for details. Familiar…

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Wallace, Dr. Christi – MD – Fort Wayne / South Whitley

Health Care

Dr. Christi Wallace, MD – Fort Wayne NOTICE: Dr. Wallace is no longer working for Parkview. She is planning to be back in practice in March, hopefully in the Fort Wayne area. She can’t provide any more information on where until March due to legal agreements with her former employers.…

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Kane, Dr. Erica – PsyD, HSPP – New Castle

Dr. Erica Kane, PsyD, HSPP Kane Loveridge Psychological Services LLC 2020 S. Memorial Dr., Suite I New Castle, IN 47362 Phone: 765-465-3387 Email: drkane@kanepsychological.com Website: http://www.kanepsychological.com Familiar with WPATH SOC v.7?: Yes Provides Referral Letters for HRT?: Yes Provides Referral Letters for Surgeries?: Yes Experience working with trans-identified persons?: I…

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Dr. Rodney E. Timbrook, Phd, HSPP – Fort Wayne

Dr. Rodney E. Timbrook, Phd, HSPP Psychological Service Associates, Inc. 3421 E State Blvd. Fort Wayne, Indiana 46805 (260) 582-4217 Website: http://www.drrodneytimbrook.com/ Psychology Today Profile I’ve been working with transgender people for about 25 years and I am familiar with the WPATH standards. Does referral letters for hormone replacement therapy.

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Dawn Bontrager, LCSW, MDiv – Mishawaka

Dawn Bontrager, LCSW, MDiv Bontrager Therapy Services 203 E Mishawaka Ave Mishawaka, IN 46545 574-256-3699 email: dawnb@dawnbontrager.com Psychology Today Profile Familiar with WPATH Standards of Care Writes referral letters for medical providers for HRT and transition-related surgeries Finances Avg Cost (per session): $70 – $110 Sliding Scale: No Accepted Payment…

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Green Line Wellness – Louisville, Kentucky

Green Line Wellness 714 Lyndon Lane, Suite One Louisville, KY 40222 (502) 426-2777 info@greenlinewellness.com familiar with WPATH Standards of Care Provide letters of referral for HRT and gender-confirming surgeries Finances Avg Cost (per session): $80 – $150 Sliding Scale: Yes Accepted Payment Methods: American Express, Cash, Check, Mastercard, Visa Accepted…

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Howard Brown Health Center – Chicago

Howard Brown Health Center

map of all Medical Doctors Howard Brown Health Center 4025 N.Sheridan Road Chicago, IL 60613 (773) 388-1600 Website: Howard Brown Health Center Aris Health by Howard Brown Health Center 3245 N. Halsted Street Chicago, IL 60657 (773) 388-1600 Howard Brown Health Center is an Informed Consent Clinic This clinic was…

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