For Patients

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.

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.