GENDER AFFIRMING Care Assessments & LETTER WRITING

Dr. David Tierney and Dr. Chloe Goldbach, Ph.D. both provide letter writing for gender affirming care for anyone 18+ years of age. She has extensive experience with providing letters for hormone therapy, FFS surgery, top surgery, and bottom surgery. Email info@lgbtcounselingdmv.com to get started.

Letter writing services requires two steps: a 60-90 minute session with the clinician to assess readiness and medical necessity, and then an additional 30-60 minutes of administrative time to prepare the letter. This two hour process is charged at our standard hourly rate of $250/hour for a total of $500. We allow for 25% of the letters we do to be on a sliding scale or pro bono basis. 

Before seeking counseling, check with your insurance company about out of network reimbursement. Ask the following questions: 

1. What is my out of network deductible?

2. What percentage  is reimbursed before and then after that deductible is hit?

3. What is the specific reimbursement/coverage for CPT code 90834 and 90834 (individual sessions), and 99080 (letter writing preparation)?

On the first Wednesday of every month at 7p to 8p, Chloe Goldbach, Ph.D. (she/her) identifies as a trans woman and leads a virtual drop-in support group for those who have already gone through surgical transitioning and those curious about surgical transitioning options. The goal of the group is to provide a space for people to talk to one another about their lived experiences, answer questions for one another, and explore their questions further in a safe environment with other trans folx. The cost is $35 per group and there is no long term commitment to group.

Email chloe@lgbtcounselingdmv.com to join the next group.

All of our clinicians work with clients going through or considering going through gender transitioning, gender expression changes, and more. Book a consult on our website today to get started.