GENDER DYSPHORIA ASSESSMENTS FOR SURGICAL CLEARANCE
WPATH SOC-8 COMPLIANT
SURGERY LETTERS
Clear.
Defensible.
Built for surgical and insurance review.
WPATH SOC-8 COMPLIANT
GENDER DYSPHORIA ASSESSMENTS FOR SURGICAL CLEARANCE
WPATH SOC-8 COMPLIANT SURGERY LETTERS
Clear. Defensible. Built for surgical and insurance review.
WPATH SOC 8 LETTERS
Your patients need documentation that passes insurance scrutiny on the first submission.
SELF-PAY, NO INSURANCE DELAYS
No authorization barriers or billing slowdowns that interrupt surgical timelines.
72-HOUR TURNAROUND STANDARD
Letters delivered quickly to keep cases moving without delay.
UPDATES HANDLED WITHOUT REASSESSMENT
Clarifications and revisions completed directly, without requiring a new appointment.
Troy, my name is Kellan and I'm the clinical social worker with the gender plastic surgery program at UVA.
I wanted to let you know that we received your letter and wanted to express that we are equally as grateful for your care of the population we serve.
On behalf of Dr. Stranix and the rest of the plastic surgery team, we are so grateful for everything you do for our patients.
Your letters are always excellent and I am always pleased to see your name. Thank you for your mission and the clear service that you provide to our patients.
Kellan Wright, LCSW (he/him)
Clinical Social Worker, University of Virginia
Clinical Social Worker, University of Virginia
Letters by
Queer Talk
Specialized surgical support letters written with clinical precision and 10+ years experience.
What is included in the letter
DSM-5 DOCUMENTED DYSPHORIA
Clear diagnostic criteria met and documented with clinical precision.
FUNCTIONAL IMPACT CLEARLY STATED
Real-world impairment outlined to support medical necessity.
PROCEDURE-SPECIFIC LANGUAGE
Letters tailored to the requirements of your program and surgeons.
STANDARDIZED MEASURES INTEGRATED
PHQ-9, WHODAS 2.0, and GIDYQ-AA results included and interpreted.
— THE GOAL IS SIMPLE
Your team should not have to think about this once the referral is made.
Clinical Background
Licensed clinical social worker. Nearly 15 years gender-affirming practice. Letters built for insurance review, surgical timelines, and program standards.
Why Providers Refer Here
Most delays in surgical approval do not come from lack of access. They come from incomplete or unclear documentation.
I remove that variable.
Referrals Are Appropriate For
Patients who need a first-time surgical clearance letter
Patients who require updates, revisions, or clarification for insurance
Patients who have experienced delays due to prior documentation issues
WHAT YOUR PATIENTS GET
Documentation that passes review.
First time.
Letters built for insurance scrutiny and surgical program standards. WPATH SOC-8 compliant. Chicago-based. Virtual nationwide.
WHY IT MATTERS
Most delays in surgical approval don't come from lack of access. They come from incomplete or unclear documentation. This removes that variable. Your team shouldn't have to think about this once the referral is made.
99% Acceptance Rate
Your patients don't experience documentation delays.
72-Hour Turnaround
Doesn't interrupt surgical timelines or program scheduling.
$190 Per Assessment
Self-pay model eliminates authorization barriers. Patients pay directly, cases keep moving.
— A FEW COMMON QUESTIONS
Do your letters meet current standards for gender-affirming surgery?
Yes. Letters are written in alignment with WPATH SOC-8 and DSM-5-TR criteria, including ICD-10-CM diagnosis F64.0. Each document clearly establishes medical necessity, documents gender dysphoria, and supports readiness for surgery in language that meets both clinical and administrative expectations.
What is included in your letter?
Each letter includes diagnosis, duration and history of dysphoria, relevant mental health and psychosocial context, capacity for informed consent, and a clear clinical recommendation for surgery. Documentation is structured to anticipate both surgical review and insurance requirements, reducing the need for follow-up.
What is your turnaround time?
Letters are typically completed within 72 hours, or three business days, after the assessment is finalized. This allows for both speed and accuracy, helping your team avoid delays in scheduling or insurance review.
How do you handle revision requests from our office or insurance?
Revision requests are handled promptly as part of the service. If clarification or additional documentation is needed, updates are completed quickly without requiring a new evaluation. The goal is to keep cases moving forward without unnecessary back-and-forth.
What are your qualifications to provide these assessments and letters?
I am a Licensed Clinical Social Worker with over a decade of clinical experience, including extensive work in gender-affirming care. My practice is focused on LGBTQ+ clients, and I have completed hundreds of gender dysphoria assessments for surgery. Letters are written with both clinical depth and a clear understanding of surgical and insurance requirements.
Can patients reach out directly with questions before scheduling?
Yes. Patients are welcome to reach out with questions before booking. This helps ensure they understand the process and arrive prepared, which supports a smoother assessment and faster turnaround for your team. Contact & Location
Do you bill insurance for assessments?
No. Assessments are offered as a flat, self-pay service. This eliminates delays, prior authorization requirements, and administrative back-and-forth, allowing patients to move through the process quickly and your team to receive documentation without interruption.
How do I make a referral?
Referrals are simple. Patients schedule their own assessment directly through the booking link, with no additional steps required from your team.
If helpful, you can share the link with patients at the time of consultation so they can move forward immediately. Once scheduled, the process is handled directly, and documentation is delivered promptly.