Supportive Letters, Not Gatekeeping

A letter should open the door to your care not stand in the way of it.

At Balanced Life Counseling, we write gender-affirming care letters for clients seeking hormone therapy or surgery.

This is not a test to pass. It is a conversation with someone who already understands why this step matters.

Our letters follow WPATH Standards of Care and informed-consent models.

We can provide letters to support:

• Gender-affirming hormone therapy (HRT)

• Top surgery and other gender-affirming surgeries

• Continuity of care for clients already established in their transition

• Coordination with your prescribing or surgical providers

What to expect:

Some clients come to us specifically for a letter. Others are already in therapy here and want support with the next step.

We work with both.

You do not have to be a current client and the process involves three sessions. If cost is a barrier, reach out about financial aid.

You will not have to prove who you are to us. We start by believing you.