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Gender Affirming Care

Comprehensive mental health support and assessment letters for adults pursuing gender-affirming medical treatment (HRT, surgery) following WPATH standards.

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A Space to Affirm Your Truth

Supporting Your Authentic Self

Selva’s licensed professionals provide comprehensive mental health support and assessment letters for adults pursuing gender-affirming medical treatment, including Hormone Replacement Therapy (HRT) and surgery.


As 2SLGBTQ+ members ourselves, we understand that assessment letters can feel like an unnecessary barrier to gender-affirming care. We bring both our professional competency and personal understanding to this process. Through WPATH standards of care, we prioritize your autonomy and strive to make the documentation process not only affirming, but celebratory too.

Important eligibility note: Due to Texas legislation, we do not provide this service for anyone under the age of 18.

Our Approach

We follow an informed consent model while adhering to documentation requirements established by the World Professional Association for Transgender Health (WPATH) standards of care. We recognize you as the expert of your own gender identity and transition needs with our role being to support, uplift, and celebrate your journey.

As a holistic wellness practice, we believe in the wholeness of the human experience. Our providers conduct biopsychosocial assessments to give them a comprehensive understanding of your physical health, psychological well-being, and social support systems. This approach creates a fuller picture of your unique needs and lived experience, and allows our clinicians to fully understand how your gender identity intersects with other aspects of your life.

Rather than focusing solely on gender identity, this holistic approach helps identify additional resources you might need to support your transition journey, whether that's connecting you to LGBTQ+ community groups, addressing concurrent mental health concerns, or navigating family dynamics. This framework also helps us write more detailed, effective letters while identifying any additional support services that could benefit your overall well-being and transition goals.

Fees and Scheduling

  • $150-$185 per 50-minute session depending on provider
  • Letter writing and documentation included in fee
  • Accepting Aetna PPO/POS, Cigna, & United Healthcare plans
  • Superbills for possible reimbursement from your insurance company
  • *Reduced fees available for those experiencing financial hardship*
  • Appointments typically available within 2 weeks
  • In-person sessions in Central Austin
  • Virtual sessions available for Texas residents
  • Evening appointments offered depending on clinician
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What to expect

Consultation

Free 20-minute consult to discuss needs and transition goals and determine next steps.

Assessment

Comprehensive biopsychosocial assessment to understand medical, psychological, and social context.

Documentation

Thorough documentation and assessment letters prepared according to current WPATH standards.

Delivery

Printed and digital copies of your letter are provided for use with medical providers or insurance.

Follow-up

Additional sessions available for ongoing therapeutic support and transition-related needs.

Ready to start your healing journey? Schedule a free consultation.

Frequently Asked Questions

No. Due to Texas legislation, Selva Wellness Collective does not provide gender-affirming medical documentation or services to anyone under the age of 18. We can, however, offer referrals or recommend resources appropriate for youth when available.

Looking for multiple services?

Check out our Wellness Packages!

Explore our Wellness Packages
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Our Services