Is there a time limit with letters?

[DarkWolf_7]

I was lucky enough that with T that it was by informed consent by I'm amusing that surgery always requires letter(s) (as that is what the WPATH standards of care say). But I can only really see a therapist qualified enough to give me a letter part of the year since I'm in college and I don't know if after a certain period of time of waiting that you would need a new letter.

Another question how can I be sure that my therapist can write me the letter?

Thanks.

[Tessa James]

One health system I know says the letter is good for 2 years.  Some hospitals and clinics have their own standards about who can write the letters, many require two for surgery but one for HRT.  Some may require a Phd level credential so it is best to check with the team you expect to utilize.

Good luck with the gatekeepers

[RaptorChops]

I think it depends on who will be doing your surgery. All I needed was a letter from either my endocrinologist, or therapist stating that they were behind me on getting the surgery. In my case I had my endo do it. He did everything I needed for my surgery like my labs, my physical the only thing he couldn't do was a chest x-ray but he gave me a referral for that.

[AeroZeppelin92]

I never saw a therapist. I got a letter of recommendation for surgery from my same doctor who prescribed me T (through informed consent).

[wheat thins are delicious]

Not all surgeons will require a therapy letter.  The one I'm going to only requires one if you are not on hormones, otherwise they will take one from the hormone doctor. 

[LordKAT]

One place said the letter had to be within the last year. I forget which one though.

[Tysilio]

My understanding, for what it's worth, is that it's usual for the letter to be good for a year.