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 and New York

While many providers charge upwards of $600, my sliding scale is $75-400, choose your price no-questions-asked, and $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!! If you are able to pay on the higher end, I appreciate it because it helps keeps the cost down for others. 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 3-5 business days to schedule a virtual consultation. Turnaround time for the letter is typically 1-2 business days after we meet. Email me with any questions!