If you experience gender dysphoria, are seeking gender confirmation procedures such as hormone replacement therapy or surgeries, and require a letter of support, the Gender Support Specialist Team at the Counseling Center is happy to help. The best way to get started is to come to the Counseling Center during drop in hours. During your session, please inform the therapist that you are seeking an evaluation for hormone therapy or surgical procedures related to your gender identity. This will ensure that you are seen by a member of the team.

What to Expect

If you choose to be evaluated at the Counseling Center, you will meet with a therapist who has training and experience working with students during their transition. Your therapist will work with you to help you meet readiness and eligibility requirements for hormone therapy based on the World Professional Association for Transgender Health (WPATH) Standards of Care.

Eligibility Criteria

  • Age of majority (typically 18 in the U.S.) 
  • Persistent, well-document gender dysphoria
  • Capacity to make a fully informed decision and consent to treatment 
  • If significant medical or mental health conditions are present, they must be reasonably well-controlled 

Please note the presence of mental health concerns does not necessarily preclude access to hormone therapy or surgical procedures. Eligibility criteria for surgical procedures vary by specific type of surgery. Typically these criteria are included and sometimes additionally may include a specific period of time undergoing hormone treatment, a specific period of time spent living in a gender role congruent to the person's goals, and possibly two referrals.

Your therapist will go over these requirements in detail before and during the evaluation process. Within the first two meetings, your therapist will make a recommendation regarding the length of evaluation required, typically ranging from a few weeks to a few months. Because each individual's situation is different, we cannot recommend a time frame in advance. The Counseling Center operates from an informed consent approach to providing these evaluations, so every care is taken to keep this process as reasonably expedient for you as possible. 

Assistance with Referrals

If you plan to receive hormone therapy through the University Health Center, you will likely need to be evaluated at the Counseling Center, or by an approved therapist in the community.  If you would prefer to seek this support outside of the university, the Counseling Center will assist you in getting connected with therapists in the community who have expertise in these evaluations and are recognized by the Health Center. If you would like assistance with referrals to providers of surgical procedures in the community, we can help with this as well.

LGBTQIA+ Resources

In addition to the support services and therapy offered by the Counseling Center, there are a variety of resources available through the Dean of Students Office. They have staff who can help you through your transition and get you connected with other resoucres.