Gender Affirmation Letter of Support And Evaluation

In-person in Baltimore and online across Maryland

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Seeking gender-affirming care can feel overwhelming, especially when facing barriers like gatekeeping, long waitlists, or providers who don’t fully understand your experience—ultimately making the journey feel harder than it should be. We offer gender affirmation letter of support and evaluation services in Baltimore, MD, where you’ll be met with the respect and understanding you deserve.

Our team provides compassionate, affirming evaluations and letters of support for gender-affirming medical care and legal documentation. Our role is to help you access the care and recognition you deserve with clear, professional documentation—while making sure you feel heard, validated, and supported throughout the process.

Gender Affirmation Letter & Evaluation in Baltimore, MD—What You Need to Know

How It Works

You don’t need to be a current therapy client—this service is offered separately from gender-affirming counseling. Please note that an evaluation does not automatically guarantee a letter of support. For minors, we require written consent from all legal guardians.

Guidelines

We follow the World Professional Association for Transgender Health (WPATH) Standards of Care, Version 8, as well as applicable Maryland guidelines. Our goal is to ensure that every evaluation is affirming, respectful, and clinically sound.

Fees

  • 90-minute evaluation: $300
  • Letter preparation and documentation (60 minutes): $200

We may provide sliding scale options based on financial need. Please contact us to discuss your situation.

Get Support—Gender Affirmation Letter and Evaluation in Baltimore, MD

Taking this step is deeply meaningful, but it can also feel overwhelming within an already complex process. We’re here to provide guidance, support, and understanding—so you don’t have to navigate it alone.
Gender-nonconforming person smiling with the transgender pride flag colours on the background, represents how you can request an evaluation and letter of support for medical care or legal documentation.

How a Gender Affirmation Letter And Evaluation Can Help

Whether you need a gender-affirming letter for medical care or legal documentation, we’re here to help. We can provide a gender-affirming care letter from a therapist for:
  • Hormone Replacement Therapy (HRT)
  • Gender-affirming surgery
  • Legal name or gender marker changes

How We Support You With a Gender Affirmation Letter And Evaluation in Baltimore, MD

Our goal is to reduce barriers and support you in accessing care—not to gatekeep. That’s why this process is collaborative, affirming, and non-pathologizing.
This evaluation includes:
  • A 90-minute clinical interview with a licensed therapist.
  • A review of your mental health history, gender identity development, psychosocial supports, and capacity for informed consent.
  • For minors, involvement of a parent or guardian (when applicable).
  • Coordination with your medical provider upon request.
  • A letter of support typically issued within 5 business days when the criteria are met.
Nonbinary couple smiling at each other, searching on their laptot for gender affirmation letter and evaluation services in Baltimore, MD.

Get Started With Gender Affirmation Letter and Evaluation in Baltimore, MD

Seeking a gender-affirming care letter from a therapist for medical care or legal documentation? We’re here to support you and help make this process smoother, especially when it can already feel overwhelming.

To request a gender-affirming letter, please fill out our intake form or contact us directly.

Need Additional Support? Find Gender-Affirming Care in Baltimore, MD

We understand that trans, nonbinary, and gender-nonconforming people often face unique barriers and stressors that make this journey more complicated than it should be. Finding a professional you can trust and truly connect with can feel challenging.

Our commitment is to support you—not to become another obstacle.

We provide gender-affirming care where you’ll find a safe, welcoming space to explore your concerns, thoughts, and feelings, while being treated with compassion, respect, and understanding. Tallk to us to learn more!

Two people holding hands with the Progress Pride Flag in the background.

Other Mental Health Services Offered at New Connections Counseling Center

In addition to gender affirmation letters of support, our therapists offer a variety of other mental health services to help you achieve a greater connection with yourself and with what matters most to you. We provide gender-affirming care, LGBTQ therapy, couples therapy, counseling for life transitions, trauma therapy and PTSD treatment, and more!

Visit us at our Baltimore office or access our services from anywhere in the state through online therapy in Maryland. Whatever your counseling needs are, we know that you can find support at New Connections.

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Looking for a Gender Affirmation Letter in Baltimore, MD?

We’re here to help! Lot’s of ways you can reach us: call 410-801-9700, email us at info@newconnectionscounselingcenter.com, or request an appointment through our form.