questingqueer:

These are redacted scans of my testosterone letter from May 2017 (I started T in June 2017), my top surgery letter from September 2017 (I got top surgery in October 2017), and my hysterectomy letter from May 2018 (I’m getting a hysto in July 2018) if anyone is curious about how they can look. Click on the image to make it larger.

The recommended content of the referral letter for feminizing/masculinizing hormone therapy is as follows:

1. The client’s general identifying characteristics
2. Results of the client’s psychosocial assessment, including any diagnoses
3. The duration of the referring health professional’s relationship with the client, including the type of evaluation and therapy or counseling to date
4. An explanation that the criteria for hormone therapy have been met, and a brief description of the clinical rationale for supporting the client’s request for hormone therapy
5. A statement about the fact that informed consent has been obtained from the patient
6. A statement that the referring health professional is available for coordination of care and welcomes a phone call to establish this. For providers working within a multidisciplinary specialty team, a letter may not be necessary, rather, the assessment and recommendation can be documented in the patient’s chart.

The recommended content of the referral letters for surgery is as follows:

1. The client’s general identifying characteristics;
2. Results of the client’s psychosocial assessment, including any diagnoses;
3. The duration of the mental health professional’s relationship with the client, including the type of evaluation and therapy or counseling to date;
4. An explanation that the criteria for surgery have been met, and a brief description of the clinical rationale for supporting the patient’s request for surgery;
5. A statement about the fact that informed consent has been obtained from the patient;
6. A statement that the mental health professional is available for coordination of care and welcomes a phone call to establish this. For providers working within a multidisciplinary specialty team, a letter may not be necessary, rather, the assessment and recommendation can be documented in the patient’s chart.