Adult Evaluations & Letters

Affirming evaluations without unnecessary gatekeeping.

ClearMinds provides adult gender-affirming care evaluations and letters for hormone-related care, surgery, legal name or gender-marker needs, and comprehensive psychosocial purposes when clinically appropriate and within current requirements.

Services Offered

Precise, WPATH SOC8-informed, adult-focused.

Fee and Timeline

Flat, transparent, in writing.

Standard evaluation + one letter$300 flat fee
IncludedOne evaluation, requirement review, focused record review when needed, one letter, one authorized transmission, and one reasonable revision within 30 days
Turnaround7 to 10 business days after the evaluation and all required information are complete
Additional session$200 if clinically necessary
Additional distinct letter$100
Legal name/gender-marker letter requiring limited review$150
Expedited 3-business-day completion$100 additional, only when available and accepted
Important Notes

Evaluations are conducted by Dr. Vance, a Licensed Professional Counselor in Georgia and Licensed Mental Health Counselor in New York, whose postdoctoral training in LGBT health was completed at Columbia University Irving Medical Center. Evaluations are provided to adults physically located in Georgia or New York at the time of the appointment. A letter is not guaranteed before the evaluation is complete. Provide the exact surgeon, provider, agency, or payer requirements before the appointment. The evaluation is WPATH SOC8-informed and adult-focused. Ongoing therapy is not routinely required to receive an evaluation. ClearMinds may refer out if the request is outside scope, competence, or legal authority.

If You Need Urgent Support

If you are in immediate danger or need urgent support, call 911, call or text 988, or go to the nearest emergency department. ClearMinds is not an emergency service.

Begin

Bring your requirements. We will be precise.

Request an Evaluation