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From Susan's Place Transgender Wiki

A Letter is a recommendation from a professional regarding aspects of gender transitioning.

There are basically three different types:

• A general letter stating that the patient is undergoing care for GID, a so-called "carry letter."
• A recommendation that the patient be started on hormone therapy.
• A recommendation that the patient be allowed to undergo gender reassignment surgery

[edit] General letter

A general letter may be useful in some situations, for instance, being challenged for using the "wrong" restroom. Some states allow modification of gender markers on driver's licenses when such a request is accompanied by a therapist's letter.

[edit] HRT letter

The Standards of Care specifies that only one letter from a therapist is required.

[edit] GRS letter

The Standards of Care specifies that two separate letters are required. One of these letters must be from a psychiatrist.

[edit] See also

• Therapist
• Standards of Care for Gender Identity Disorders
• Changing sex on driver's licenses

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