I’m pleased to provide assessments and recommendation/support/referral letters for folks seeking gender-affirming surgeries. I utilize a trauma-informed and liberation-focused approach; transition is sacred and should be treated as such. I am currently only able to work with clients in California, New York, and New Mexico,

While many providers charge upwards of $600, my sliding scale is $75-400, choose your price no-questions-asked, and sliding scale starting at $25 for BIPOC. I can often accept a lower rate, including pro-bono/free, on an as-needed basis. Please do not hesitate to reach out if cost is a barrier!!

I recommended using the “green bottle method,” outlined here, to determine where you may fall on the sliding scale. Tose who fall in tiers 2 and 3 make it possible for me to provide this service low cost or free to those in tier 1. Unfortunately insurance does not cover this part of the process. I’m open to accepting trade (artwork, service, etc!) when applicable.

Please fill out this form and I will reach out to you via email within approx 5-7 business days to schedule a virtual consultation. Turnaround time for the letter is swift. Email me with any questions!