
you can just state that you’re looking for a “letter of support” for gender affirming surgery (specifically phallo) and ask of that’s a service they provide if you’ve already contacted a surgeon, they may have a list of providers they’ve previously worked with. if your state has a big hospital/university gender center, they may also have providers and/or a list. also, might want to check if they need a certain kind of therapist to write the letter (msw vs ma vs psyd etc).