Support for gender-affirming care

Seeking gender-affirming care can be an empowering step and it can also feel overwhelming, vulnerable, or stressful. At Absolute Worth, we offer gender affirmation letters in a way that is respectful, affirming, and centered on your autonomy.

We approach gender affirmation letters as a collaborative process, not a test you have to pass. Sessions are focused on understanding your goals, your lived experience, and what support looks like for you. There is no expectation to prove your identity, explain yourself, or fit a specific narrative.

Letters are written in alignment with current standards of care and tailored to the specific requirements of your medical provider, while centering your voice and consent throughout the process. We take time to explain each step, answer questions, and ensure you feel informed and respected from start to finish.

Whether you are seeking hormone therapy, gender-affirming surgery, or documentation support, we aim to provide care that reduces stress and affirms what you already know to be true about yourself.

You are the expert on your identity. We are here to support you.

Gender Affirming Care

  • A gender affirmation letter, sometimes called a readiness or support letter, is a clinical document that confirms you meet criteria for gender-affirming medical care, such as hormone therapy or gender-affirming surgeries. These letters are often required by medical providers or insurance companies.

    At Absolute Worth, gender affirmation letters are written from an affirming, informed perspective that recognizes gender diversity as a natural part of human experience.

  • We take a consent-focused, identity-affirming approach to gender affirmation letters. This means:

    • We do not view being transgender, nonbinary, or gender-diverse as something that needs to be proven or justified

    • We focus on understanding your goals, experiences, and needs

    • We aim to minimize unnecessary sessions or obstacles

    • We respect your right to self-identify and make decisions about your body

    This process is not about questioning who you are. It is about documenting what providers need while honoring your dignity and autonomy.

  • The gender affirmation letter process typically includes:

    • Between eight to twelve structured evaluation sessions, depending on the type of letter required

    • A discussion of your gender identity, history, and current supports

    • Review of relevant criteria required by medical providers or insurance

    • Time for your questions, concerns, and preferences

    Letters are written according to current professional standards and tailored to the specific requirements of your provider whenever possible.

  • Part of this process includes discussing your mental health and overall well-being. This is not to deny care, but to ensure support and safety throughout your transition and beyond.

    If additional support or referrals would be helpful, we will discuss options collaboratively and respectfully.

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