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Gender Affirming Letter Writing

We offer gender affirming letter writing in accordance with WPATH standards of care. We offer this service over 2-4 sessions, or more if requested by the client. We work hard to limit gatekeeping and believe our clients about their experiences with their gender. Monique Nash, owner and psychotherapist at Sage Owl conducts the sessions and does the letter writing. Her doctoral level supervisor signs off on the letters, in accordance with current requirements and standards of care, to ensure clients are getting what they need to receive necessary and timely medical care for gender services. 

We are able to accept Blue Cross Blue Shield for these services or private pay. These services are only available to those who live in Michigan and is offered in person or via telehealth. 

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