Gender-Affirming Letters
Your Gender Is Not Up for Debate — and Neither Is Your Access to Care
Let’s be real: you shouldn’t have to prove your gender to access care. When a letter is needed—or simply makes things easier—Jenna Stone, LCSW-C provides them without interrogation, gatekeeping, or requiring you to justify who you are.
Jenna follows WPATH Standards of Care (SOC8), which center autonomy, informed consent, and self-determination.
These letters are not assessments of whether you’re “really” trans. They don’t depend on how long you’ve known, how you present, or fitting a specific narrative. The intake is to understand your experience so the letter reflects you—not to evaluate your legitimacy.
Jenna also advocates for surgery in larger bodies. Weight is not a medical contraindication for gender-affirming surgery, and letters from this practice make that clear. If you’ve been told by other providers that you need to lose weight before accessing surgery, know this: that is weight stigma, not medicine—and you deserve a provider who will push back.
WHAT WE WRITE
Types of Letters Available
Letters supporting gender-affirming surgical procedures, written consistent with WPATH SOC8 guidelines and without weight-based barriers.
Letters supporting access to hormone therapy or HRT where a mental health letter is requested by a provider or insurance plan.
Letters supporting legal name changes, gender marker changes on ID documents, passports, and other official records.
Housing, workplace, insurance appeals, or other documentation needs — reach out and we will let you know if we can help.
If you have been denied a letter or told you must lose weight before pursuing gender-affirming surgery, Jenna will advocate for you. Weight is not a contraindication for these procedures under WPATH guidelines, and this practice takes that seriously. You deserve access to care in the body you have — not a body someone else thinks you should have first.
WHAT TO EXPECT
How It Works
-
1
Reach out Reach out by completing the form on our website and selecting Advocacy Services. Let us know what kind of letter you need and any relevant timeline — some processes (insurance, surgery scheduling) have deadlines and we will do our best to work with yours. Please note that Jenna's availability is based on current capacity, and requests are attended to in the order they are received.
-
2
Intake conversation with Jenna If Jenna has availability, they will schedule a time that works for both of you to talk through your needs. This is not an evaluation or a gatekeeping step — it is how they make sure the letter actually reflects you. There is no separate charge for this meeting.
-
3
Letter drafted and delivered Jenna drafts the letter and shares it with you before it goes anywhere. You will have the opportunity to review it. Letters typically take up to two weeks — reach out if you have a tighter deadline and we will see what we can do.
FEES
Gender-Affirming Letters Should Be Accessible
If you are already working with Jenna in therapy, gender-affirming letters are included at no additional cost. Just ask.
We mean it. Give what you are genuinely able to give. No one will be turned away because of cost.
Your gender is not a clinical question. It is not something to be evaluated, verified, or approved. A letter from this practice says: we believe you.
FREQUENTLY ASKED QUESTIONS
Frequently Asked Questions About Gender-Affirming Letters
Do I need to be in therapy with Jenna Stone, LCSW-C to get a letter?
Letters are free for current therapy clients, but you do not need to be in therapy to request one. Anyone can reach out — you will need to meet with Jenna for a brief intake conversation first, and then the letter is pay-what-you-can.
Do I need a diagnosis to get a letter?
No. WPATH SOC8 does not require a gender dysphoria diagnosis for most letters, and this practice follows that framework. Jenna will not require you to have or accept a diagnosis in order to receive a letter.
I was told I need to lose weight before surgery. Can you still write a letter?
Yes. Weight is not a medical contraindication for gender-affirming surgery under WPATH guidelines. Jenna will write letters advocating for surgical access in larger bodies and will directly address weight stigma in the letter where it is clinically appropriate to do so.
How long does it take to get a letter?
Letters typically take up to two weeks from your intake conversation. If you have a deadline — a surgery date, an insurance appeal window, a court date for a name change — let us know when you reach out and we will do our best to work within your timeline.
Do you write letters for minors?
Reach out and we will talk through your situation. Letters for minors involve additional considerations and we want to make sure we can support you well before committing to a timeline.
What if I truly cannot pay anything?
Pay what you can means exactly that — including zero. Please do not let cost stop you from reaching out. Contact us and we will figure it out together.
Ready to get started?
Reach out through the form on our website. Let us know what you need and any timeline considerations — we will get back to you as soon as we can.