Hi Harlow, I notice you mention you saw a therapist before that diagnosed you as trans. Did they give you anything in writing stating this. If not, could you contact the therapist for a letter diagnosing you as trans? Mention this to your new Doctor, it can help. If you have this option in Portland, perhaps you could try informed consent. I live in a suburb of Toronto, Canada, and I told my gender Doctor saying I am knowledgeable enough to go on informed consent. The Doc had to go by standard rules of 3 months wait from my first appointment before I could start hrt. My first visit I gave my Doc a brief history of dressing as a lady. The Doc will need to know your medical history. Discussion of hrt. Ask questions. My Doc gave me a form to go for blood tests. Seeing as you have seen other Docs & therapists, you probably know to be relaxed, breathe, be yourself & communicate.
Hope all goes well.
Jamiep