Thank you for your interest in gender affirming medical care at Michigan Medicine. Providers across our system are pleased to provide the below services for the transgender community. Across the pages, you will find directions to access the care you are seeking.
Service Inquiry Form
If you are interested in any of the services we offer, please call us at 734-998-2150. We will connect you to an intake form that you will fill out on our patient portal. If you are not able to fill it out electronically, we can send it to you and provide instructions on how to get it back to us.
Letters of Mental Health Support
You do not need a letter of support from a mental health provider to start hormones. However, most insurance companies require you to have one or two letters of support from mental health providers prior to obtaining gender-affirming surgeries. Different insurance policies have different letter requirements for different surgeries. Regardless of insurance policy, Michigan Medicine requires all patients having top surgery at least one letter of mental health support, and all patients having orchiectomy, metoidioplasty, vaginoplasty, and phalloplasty to have two letters of mental health support. We do not require letters of mental health support for hysterectomy or vaginectomy by policy, however, most of our patients need two letters of mental health support for these surgeries in order to obtain insurance coverage. For more details, please find more detailed information listed under surgeries of interest on the left-hand side of this page.