Your therapist writes your letter when she's sure you're trans. The support group would be to connect you to peers. They can also recommend medical providers such as an endocrinologist.
BTW WE are a support group. [emoji6]
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April 22, 2015, the day of my first face to face pass in gender neutral clothes and no makeup. It may be months to the next one, but I'm good with that!
Being transgender is just a phase. It hardly ever starts before conception and always ends promptly at death.
They say the light at the end of the tunnel is an oncoming train. I say, climb aboard!
Think outside the voice box!