Some groups have their own gender care specialists that meet you once and write a letter. I spent $150 getting a letter from Folx, but you should be able to get a letter on the first appointment from any mental health professional

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Yes I got mine from my first session! I was very upfront about my intentions of solely getting the letter. I have a therapist that I meet with regularly but she’s based in the UK so she didn’t meet the reqs for my insurance

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I got mine during the second session with my psychologist— started off very bluntly with him (and was recommended him by a friend who got their letter for top surgery from him). I still meet with him now, some three/four years after!

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There was an online group of providers that would provide letters ASAP. Don’t know if you’ve tried searching around yet. If I can find the link, I’ll circle back to post

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it depends on the provider, honestly. i recommend being very straight up with them and saying you're coming in looking for a letter of support. some insurances/hospital teams require you to have an existing relationship with the provider, while others are fine with you meeting with them just for the consultation. it may help to pitch it as an official signature on your mental state (good enough to make this decision) and saying essentially "yes, i testify that _____ told me that they experience

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