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 working with us, please fill out and return the Service Inquiry Form. If you plan to fill out this form on your computer, please note that saving the form from your web browser does not saveany answers that you have filled out on the form. Save the form to your computer first, then fill it out, save again, and return the completed form.
Release of Information
If you have a letter of support written by a mental health clinician who does not work at CGSP, you will need to fill out and sign a Release of Information form allowing CGSP staff to speak to the clinician. Please note the following information:
- You will need to physically (pen-to-paper) sign and date the form.
- You will need to return the form to CGSP by email, mail, or fax. This information is available on our contacts page. Please do not send the Release form to the Health Information Management office (the contact information listed on the form itself) as this will cause delays the referral process.
- If you use email, please be sure to send us a scanned image of the Release form. We won’t be able to accept a photograph of the Release form.
If you have any questions regarding the release form, please contact us at 734-998-2150 or firstname.lastname@example.org.