Hormone Therapy Referral Letter or Medical Chart Notation

As an added service support to persons seeking hormone treatments who do not already have a qualified referring health professional, BVWHC offers a counseling consult on-site. See below to decide which option works best for your situation or call us for assistance or referral: 303-442-5160.

High quality, compassionate, excellent and inclusive care and advocacy at BVWHC goes beyond signed consent with our patients. Whether we’re talking about hormone therapy, birth control methods, abortion procedures, permanent sterilization, or other significant health services, we work with patients to assure you are well-supported throughout your decisions and treatment, with your best possible outcomes in mind. Successful life changes require education, empowerment and non-judgmental support.

The process of gender affirming treatments is best achieved through a multidisciplinary approach. It may include five processes: diagnostic assessment, psychotherapy or counseling, real-life experience, hormone therapy and surgical therapy. Having the professionals responsible for each part communicate with each other will maximize the chances of a successful outcome for you.

In accordance with Standards of Care established by WPATH (World Professional Association for Transgender Health), BVWHC requires individuals seeking hormone therapy to provide a referral letter or chart documentation of psychosocial assessment from a qualified referring health professional. A “qualified referring health professional” is one with competence not only in mental health, but also specifically with transgender and non-binary identities and using WPATH Standards of Care. The BVWHC counseling supervisor can consult with you and create the chart documentation needed, or you are welcome to provide a referral letter from your own qualified referring health professional.

Living as a person experiencing and expressing gender in transgender and non-binary ways involves significant social, relational and occupational distress. Psychological conditions can sometimes develop as part of an individual’s coping process (depression, anxiety, suicidality, drug/alcohol dependency). It is important to have an evaluation to:

  1. Make sure that gender dysphoria is the correct diagnosis (for insurance and treatment purposes);
  2. Check for any psychological and/or psychiatric conditions that might confuse the picture; and
  3. Start addressing those other conditions if they exist.

Without this evaluation, hormonal treatment may not work as well for you. For individuals seeking gender affirming services, meeting with a qualified referring health professional can also help inform you about the possibilities and limitations of hormone therapy and other related services. This counseling professional can also help individuals be prepared for and cope with the social, emotional and logistical changes that accompany gender affirming changes.