scheduling & fees

full fees above are listed for a standard 50 minute session. any service may be extended to 75 or 90 minutes for an additional charge, agreed upon before our session. 

at this time, all sliding scale slots are full. if you are not able to afford these fees, please check open path collective for therapists who offer sliding scales from $30 to $60, out of pocket (no insurance accepted). online sessions are available.

I am unable to accept insurance to cover your services, but I do accept HSA and FSA cards. I can only conduct sessions with clients who are physically located in oregon at the time of our sessions. 

typically, referral letters for gender affirming interventions and procedures can be completed after only one session. if more than one letter is needed (for multiple procedures), an additional $25 fee is applied to each additional letter. corrections are included in fee.

for information about free gender assessment letters, refer to www.thegalap.org. I am not affiliated with this website or the listed providers, but this can be a resource to access letters at no cost to you.