TC offers a variety of gender affirming care services. We use an informed consent model following the WPATH standards of care.

Psychotherapy

We work primarily with queer and trans folks and offer specialized therapy for the LGBTQIA+ community. TC is a queer & trans owned practice.

Referral Letters

We write referral letters for gender affirming care including surgeries and hormone treatment. We are networked with a variety of providers and can provide referrals as needed.

Advocacy & Education

We proudly advocate FOR our community IN our community. We also offer training for clinicians looking to expand their knowledge of LGBTQIA+ care.

referral letter process

Ash writes letters for adult clients (18+) who live in the state of Michigan.

There is no minimum session requirement for obtaining a referral letter. My goal as a therapist is to provide thorough and efficient care. For some of clients, it only takes one session to gather the information necessary. For others, it may take a few - it just depends on where you are in the process.

The fee for each session is $150 and there is no additional charge for the letter itself. I am private pay only, meaning I do not bill your insurance provider and insurance does not cover the cost of your sessions. check out our faqs for more information.