Here is a sample letter from Howard Brown Health Center out of Chicago.
[Health Center Name]
[address]
Re Name (aka New name)
To Whom It May Concern
This letter is to serve the purpose of allowing [name] (aka ) a transgender individual, a safe passage through every space. This person is under care at [insert center] in [insert city] and is currently undergoing medical interventions in an effort to transition from the assigned/biological gender of male to the female gender. During transitioning, this person may present with a mixture of male and female secondary sex characteristics (body hair, facial contours, tone of voice, fat distribution on the body), which may leave some observers confused about which gender this person belongs to. This is normal during this time and must be allowed as this person makes transitions to the female gender.
[Name](aka )'s legal documents may still identify her as male. However since name identifies as female transgender individual, she should be afforded the same basic human rights as the other females, such as being referred to as she, having her driver's license reflect her current gender of female and she should be allowed to use the women's restroom. While this person may identify as transgender, this has no implication for her mental stability or competence. [Name] is a high-functioning and emotionally stable individual.
In order to authenticate that this letter is indeed for the person before you, a description of [Name] is included. Her birth date is [ ] and her social security number is [ ]. For your own understanding of my ability to write this letter, I am a member of
, where our mission is to serve the gay, lesbian, bisexual, transgender communities. I have specialized in working with transgender individuals for over 3 years and am aware of the laws that protect them and the basic human rights they are warranted.
[This section may be edited to fit the specific credentials of the therapist filling out this letter]
If you have any questions regarding the statements I have made or the authenticity of this letter, feel free to contact me at [phone #]. Thank you in advance for the professional treatment and care that you will provide to [name].
Sincerely,
[name]