So, I went through this recently.
I sent in:
The Primary Physician letter regarding my hormone treatment.
The Letter from my Therapist (Masters level).
The letter from my Psychologist (PhD level).
The medical history form I received from Suzanne.
The requested photo of me.
(note: I emailed everything. Scanned originals in and sent pdf files.)
I asked for next August for a date.
Suzanne replied within a couple days with my date (8/31/2015 ...yay!).
She then said I would get my confirmation letter next Spring. A bit disconcerting, but I trust her.
I then asked if I could pay some of the fee now and she said yes. She said to send a certified check or money order.
I asked if I could bank wire the funds and she sent me all the bank info for the clinic and I had my bank wire a third of the fee for grs two weeks ago.
I emailed Suzanne and she said she received it.
Now, just plowing through this winter and looking forward to Spring and the approach of my date.

Hang in there, it takes time, is tedious, and you need to stay on top of everything (Suzanne is nice, but I didn't feel like I got a lot of direction from her). Don't hesitate to email Suzanne, though, if you feel something is missing or if you should have heard from her.
Hope this helps!
-Ainsley