Forms

New Client Forms

Please complete these 3 and bring to your first visit.

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 for all letters)

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 All Letters)

Insurance Information Form

Family of Origin History