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HRT Letter Requirements

HRT Letter Requirements

Alder Health Services adheres to standards set forth by the World Professional Association for Transgender Health (WPATH). We acknowledge that a relationship with a well-informed mental health professional is an important part of a successful transition. Mental health providers should be well educated on the standards of care for transgender health.


Requirements for a letter:

Letters that do not meet the following format will be returned for completion. To avoid delay of treatment, please take the time to review the following requirements.

  • The client’s general identifying characteristics;

  • Results of the client’s psychosocial assessment, including diagnise;

  • The duration of the referring provider’s relationship with the client, including the type of evaluation and therapy or counseling to date;

  • A listing of the authors experience treating transgender clients.

  • An explanation that the criteria for hormone therapy have been met, and a brief description of the clinical rationale for supporting the client’s request for hormone therapy

  • A statement that informed consent has been obtained from the client

  • A statement that the referring provider is available for coordination of care.

  • Specific plans for post -hormone therapy services and/or counseling

For more information on The World Professional Association for Transgender Health please visit their website: