Please complete these 3 and bring to your first visit.

New Client Forms

New Client Intake Form

Office Policies & Procedures

Consent for Services


Drug & Alcohol Evaluation Forms

SALCE Pre- Evaluation Sheets


Gender Therapy Forms

Letter for Surgical Corrective Surgery:  M to F

Letter for Top Surgery & Consent: F to M

Letter for Hormones – Consent Form

Letter Request – Required in addition to all letters

Gender History

Gender ASSET – (to be completed prior to surgery)

Family Comments – Child and Adolescent History

Gender Glossary


Additional Forms

Authorization for the Release of Confidential Information

Letter Request – Required in addition to all letters


Insurance Information Form

Family of Origin History


Contact me at 713-524-9525 or fill out the form below. I welcome your call so we can discuss your specific situation and the benefits therapy may provide for you.

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