The assessment process consists of a thorough clinical interview, review of any previous medical/mental health records, review of any letters of endorsement by past therapists, and a questionnaire. Assessments for gender-affirming surgeries typically lasts between 1-1.5 hours depending on an individuals's history (any previous evaluations, reports, medical and mental health concerns, etc.). Neurodiverse Counseling follows the World Professional Association for Transgender Health (WPATH) standards which state:

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1. Persistent, well-documented gender dysphoria

2. Capacity to make a fully informed decision and to consent to treatment

3. Be of the age of majority in the country of surgery (and follow SOC rules for children and adolescents*)

4. Significant medical or mental health concerns, if present, must be reasonably well controlled at the time of surgery

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You will have the opportunity to meet a therapist and discuss any concerns or questions you may have. Upon meeting all WPATH criteria, your therapist will send a letter detailing the medical necessity of gender affirmation surgery directly to your provider and/or insurance company (with a signed release of information). The letter will also be provided to the client by the therapist. In the event that a client's application for gender affirmation surgery is denied or rejected, the therapist will assist them in writing a compelling and strongly-worded appeal letter. ​