1. My assessments for adults usually take one session, occasionally two to three. My assessments for adolescents involve family and 1:1 time with the adolescent, and can take 2-3+ sessions depending on complexity. You will never have to “prove you are trans or nonbinary”. We will talk together about risks and benefits from your perspective and your goals. It will be necessary to engage in safety planning or relapse planning if needed for adequate support and stability. We will touch on your thoughts about fertility, if relevant, and how expected changes will effect your school, social, work and family life.
2. You will review a draft letter usually within a week of our meeting.
3. Once you let me know of any suggested changes, then I will send you a signed copy of the letter. Usually you forward the letter to your doctor or surgeon, and their office sends it to your insurance for preapproval. I am happy to fax a letter if you provide a name and fax number.