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Sample Letter for Hormone Therapy Mobile App

If your client or patient has met all the eligibility and readiness criteria outlined in the official World Professional Association for Transgender Health Standards of Care for the treatment of individuals diagnosed with Gender Dysphoria use the Sample Letter for Hormone Therapy mobile app to complete a letter to recommend hormone replacement therapy.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Sample Letter for Hormone Therapy Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico date

    Date

  • Ico textbox

    Name

  • Ico multiline

    Address

  • Ico textbox

    Phone Number

  • Ico textbox

    To Whom It May Concern:

  • Ico textbox

    [Legal Name]

  • Ico date

    [Date of Birth],

  • Ico integer

    is a [Age] year old

  • Ico statictext

    individual who has established a longstanding and strong identity.

  • Ico textbox

    [Legal Name]

  • Ico statictext

    reports a prior history of anxiety which appears to have been in response to the stressors during...

  • Ico textbox

    [Legal Name]

  • Ico statictext

    seems to have significant progress in her/his/their (or preferred pronoun) transitioning and seem...

  • Ico textbox

    I met with [Legal Name]

  • Ico statictext

    for an evaluation on [date of evaluation].

  • Ico textbox

    [Therapist Phone Number].

  • Ico statictext

    Sincerely,

  • Ico textbox

    [Therapist Name],

  • Ico signature

    [Signature]

  • Ico textbox

    [Qualifications]

  • Ico statictext

    *Note: Name to be used throughout the letter should be the client’s legal name.

  • ...and More!

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