Enwpath Surgery Letter Template – I am a [therapist/mental health professional, etc. They have been a patient here since [date]. Insurance companies and surgeons maybe have different requirements. The letters serve a couple purposes, as laid out in the criteria for genital surgery in the wpath standards of care.
Given that (insert name) is (insert age) years of age and thus is recognized as the age of majority, this letter will discuss the wpath criteria recommended for adults requesting. This indicates the specific day on which the. Letter of support from a primary care provider or whomever is prescribing hormones if applicable. Dear [surgeon’s name], i am writing you today to assert my full support for [legal name], who identifies as [name or pronoun] to receive a gender confirming top surgery.
Enwpath Surgery Letter Template
Enwpath Surgery Letter Template
(city, with whom, stability, access to private bathroom). Type text, add images, blackout confidential details, add comments, highlights and more. The following letter is in support of patient’s request for hysterectomy due to gender dysphoria.
Position statement on medical necessity of treatment, sex. Download a copy of the medical necessity statement. These two resources can be helpful:
They identify as [gender identity] and go by [pronouns]. Documentation to accompany surgical referral: To meet the wpath standards, the letter should include the following essential components:
Edit your wpath letter for hormones template online. Wpath surgery letter template unsure what to include in a support letter for surgery? Included below are two example letters that clinicians can use as a template.

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