[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-279747-105":53,"doc-detail-279747-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","writing-a-letter-of-support-for-gender-affirming-surgeries-adult-2-template","WRITING A LETTER OF SUPPORT FOR GENDER AFFIRMING SURGERIES - Adult 2 - Template","","A professional guide and fill-in template for writing a letter of support for gender affirming surgeries, aligned to WPATH Standards of Care Version 8 (SOC8, 2022). It specifies required content elements such as client identifying characteristics, an exact list of requested surgeries, a Gender Dysphoria diagnosis code with acceptable values, duration and type of therapeutic relationship, relevant clinical factors, informed consent without coercion, awareness of irreversible effects, and clinical rationale. It also covers additional requirements for top versus bottom surgeries, including fertility-loss statements, and describes insurance-dependent letter quantities from different licensed providers.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/writing-a-letter-of-support-for-gender-affirming-surgeries-adult-2-template/279747/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/writing-a-letter-of-support-for-gender-affirming-surgeries-adult-2-template/279747.png","ImageObject",442,249,{"name":88,"@type":89},"Rowan","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-22","2026-09-16",true,{"@type":98,"interactionType":99,"userInteractionCount":8},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What must a gender-affirming surgery support letter include under WPATH SOC8?","Question",{"text":108,"@type":109},"It must include the client’s identifying characteristics, an exact list of requested gender affirming surgeries supported by psychosocial assessment results, a Gender Dysphoria diagnosis code, the duration and type of the mental health professional relationship with relevant counseling/evaluation factors, confirmation of informed consent without coercion, awareness of irreversible effects, and clinical rationale showing surgical criteria are met.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Which diagnosis code for Gender Dysphoria is acceptable and what is unacceptable?",{"text":113,"@type":109},"Acceptable Gender Dysphoria codes listed are F64 .0, F64 .1, and F64 .9. The unacceptable example given is 302.85.",{"name":115,"@type":106,"acceptedAnswer":116},"What additional requirement applies when the patient seeks bottom surgery?",{"text":117,"@type":109},"The letter(s) must include a statement that the patient was informed of the potential loss of fertility. Bottom surgery also requires two letters from two different licensed mental health providers, with one letter confirming at least a 1-year established patient relationship.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},279747,1789526620,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":8,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":125,"read_time":9},1099514067415,"https://ap-avatar.wpscdn.com/avatar/100002539d78ffe74a7?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779092875211072502","WRITING A LETTER OF SUPPORT FOR GENDER AFFIRMING SURGERIES  \nCreated by The Gender Confirmation Center  \nWHAT A LETTER OF SUPPORT NEEDS TO CONTAIN  \nThe most current edition of the Standards of Care (SOC) by the World Professional Association for Transgender Health (WPATH), WPATH SOC8, released in 2022 recommends the following content for gender affirming surgical support letters:  \n1. The client’s general identifying characteristics.  \n2. The exact list of gender affirming surgeries based on results and diagnoses of the client’s psychosocial assessment that meets the criteria set forth by the WPATH SOC8.  \nNote: The letter must include a diagnosis code for Gender Dysphoria.  \nAcceptable codes: F64 .0, F64 .1, and F64 .9  \nUnacceptable code: 302.85  \n3. The duration of mental health professional’s relationship with the client, including the type of evaluation & therapy or counseling to date. Additionally, include a list of specific factors that are relevant to the result of surgical consults.  \n4 . A statement that patient experienced no coercion from external parties and provided informed consent to move forward with surgery.  \n5. A statement that patient is informed on the irreversible nature associated with the procedure.  \n6. 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.  \n7. *FOR PATIENTS SEEKING BOTTOM SURGERIES ONLY* A statement that patient has been informed on the potential loss of fertility.  \n8. A statement that the mental health professional is available for coordination of care and welcomes a phone call to establish this.  \nINTRODUCTION   \nInsurance companies require a letter from a mental health care professional prior to all gender affirming surgeries. The letter is a statement that the client is ready and able to give informed consent.  \nMost insurance companies require mental health providers to state in the letter that they have an ongoing‘provider and patient relationship with the patient’.  \nAlthough hormones are not a requirement for top surgery most insurances would like this to be addressed. Such as, whether the patient is taking hormones or not. If they are taking hormones indicate how long they’ve been on HRT, if they’re not taking hormones make an indication as to why that is.  \nFor patients who are seeking approval through Medi-Cal GCC surgeons Insurance Advocacy team has observed it’s helpful for there to be a statement addressing any substance abuse issues (Or Lack There Of) .  \nAt The Gender Confirmation Center of San Francisco, patients paying via insurance are required to obtain two support letters for gender affirming surgeries. One from your PCP (Primary Care Provider) and another from your mental health provider. Some insurance providers may also additionally require a medical referral from your PCP. Note that the medical referral from your PCP is a separately additional document and not to be confused with the previously mentioned support letter. These requirements do not apply to patients paying via out of pocket.  \nFor patients seeking bottom surgery, two letters of support from two different licensed mental health  \nproviders is required, regardless of paying via insurance or out of pocket. One of these support letters must state a minimum of a 1-year long established patient relationship by the licensed mental health provider. The second letter can be obtained with any length of therapeutic relationship. Note that the support letters must include a statement about the potential loss of fertility.  \nIS IT NECESSARY?   \nWHAT THE SUPPORT LETTER SHOULD LOOK LIKE  \nOn the next page, you will find a template of what the support letter should contain. The template on the next page and has footnotes that indicate how the support letter meets the WPATH SOC8 criteria.  \nGENDER CONFIRMATION CENTER | A PROFESSIONAL MEDICAL CORPORATION  \n450 SUTTER STREET, SUITE 1000 ~ SAN FRANCISCO, CA","cbCaieSsjhH1xDt9","https://ap.wps.com/l/cbCaieSsjhH1xDt9","pdf",1805195,"English","# What a letter of support needs to contain\n## Introduction\n## Is it necessary?\n## What the support letter should look like","[{\"question\":\"What must a gender-affirming surgery support letter include under WPATH SOC8?\",\"answer\":\"It must include the client’s identifying characteristics, an exact list of requested gender affirming surgeries supported by psychosocial assessment results, a Gender Dysphoria diagnosis code, the duration and type of the mental health professional relationship with relevant counseling/evaluation factors, confirmation of informed consent without coercion, awareness of irreversible effects, and clinical rationale showing surgical criteria are met.\"},{\"question\":\"Which diagnosis code for Gender Dysphoria is acceptable and what is unacceptable?\",\"answer\":\"Acceptable Gender Dysphoria codes listed are F64 .0, F64 .1, and F64 .9. The unacceptable example given is 302.85.\"},{\"question\":\"What additional requirement applies when the patient seeks bottom surgery?\",\"answer\":\"The letter(s) must include a statement that the patient was informed of the potential loss of fertility. Bottom surgery also requires two letters from two different licensed mental health providers, with one letter confirming at least a 1-year established patient relationship.\"}]","WRITING A LETTER OF SUPPORT FOR GENDER AFFIRMING SURGERIES - Adult 2 - Template | PDF"]