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The phrase “appropriate clinical treatment for gender transition” is meant to capture a range of treatments that may be appropriate, in each individual case, to facilitate gender transition.Clinical treatment methods are outlined in the World Professional Association for Transgender Health Standards of Care, and treatment can include psychotherapy, changes in gender expression and role, hormone therapy, or surgery, or any combination thereof.

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I, (physician’s full name), (physician’s medical license or certificate number), (issuing U. State/Foreign Country of medical license/certificate), (DEA Registration number or comparable foreign designation), am the physician of (name of patient), with whom I have a doctor/patient relationship and whom I have treated (or with whom I have a doctor/patient relationship and whose medical history I have reviewed and evaluated).

(Name of patient) has had appropriate clinical treatment for gender transition to the new gender (specify new gender male or female).

Details about surgery, hormone treatment, or other treatments are unnecessary and not helpful.

USCIS Policy Memorandum on Adjudication of Immigration Benefits for Transgender Individuals, April 10, 2012.

No specific treatment is required, and details of your treatment need not be provided.

In fact, NCTE encourages you and your provider to only state in the letter that you have had appropriate clinical treatment for gender transition.