Free Gender-Affirming Letters

Hello! I am happy you found me! I write free gender-affirming letters! :)

And I'm sorry the insurance companies still require this to gatekeep people. :(

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Part of my commitment to advocacy is to provide these letters for free, in one evaluative session. I charge my standard session rate of $175 for the one session, and I do not charge for the time it takes to write the letter. Please inquire about a sliding scale price if you need it.

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Note: I am licensed in Washington State and Florida, so you must be in one of these states for me to write your letter, and for your doctors to accept it.

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Here is my process:

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1. You would send me an email to let me know you want a gender-affirming letter, and the deadline by which you need the letter.

2. I would e-mail you back within 24 hours, Monday through Thursday, and send you some scheduling options.

3. We agree to a date and time that works for both of us.

4. I send you the standard counseling paperwork to read and sign. For the intake questionnaire, you can write as little or as much as you want. 

5. I also send you a Google calendar meeting invite for the agreed upon date and time. All times are in Pacific time, and per counseling legal rules, you must reside in Washington state, which is where I hold my license. (I am also licensed in Florida, but my supervisor is not, so you/ the client must be in Washington.)

6. We meet for the session, where I ask the questions insurance requires of us, and some additional questions according to WPATH standards of care. Please have the list of questions that your specific insurance requires ready at the time of session.

7. I write the letter, and send it to you for review. Once you have approved it, I sign it and send it to my supervisor to sign, and then send it back to you. Then you have your letter and you are on your way!

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If this sounds good to you, please send me an email and let me know your deadline for the letter, and I will send you some available session times. :) All the session times will be during my office hours, Monday and Thursday, 10 am to 5 pm PST

Thank you! You can reach me at counselor@katemageau.com

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If you are interested in also working together for individual and/or group therapy, please see the services page