Queer Affirming Therapist Guild

Gender Affirming Letter Writing for Clinicians

  • 10 Nov 2023
  • 9:00 AM - 10:00 AM
  • online sychronous via Zoom


Gender Affirming Letter Writing for Clinicians
Friday, November 10th 9:00-10:00am, 1 CEU
online synchronous, via Zoom

This training relates to letters of support for transgender, non-binary, and gender expansive clients who seek medical services (such as hormones and surgeries) to affirm their gender. It utilizes the Informed Consent model.


  • Identify problems with current “permission-seeking” model in healthcare when it comes to trans folks pursuing medical interventions
  • Identify what to ask during an assessment with a client seeking a letter of support
  • Be able to write a variety of support letters to match the need of your population
  • Discuss the financial aspect of letter writing and the ethics surrounding payment


Sarah Middleton (they/them) has been working with children and families in a clinical setting since 2017. They have specific experience and training working with queer and transgender individuals and families, neurodivergence, and those with complex or developmental PTSD. They have been writing letters of support for queer and transgender individuals for the last three years utilizing an informed consent model of service. When not working, they enjoy spending time hiking and camping with their family. https://www.middletoncc.com/

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