This practical training guides clinicians through the process of writing effective, respectful, and ethically sound referral letters to support adolescent and adult clients seeking gender affirming medical care. Grounded in current WPATH (World Professional Association for Transgender Health) Standards of Care, the training will cover the key elements and structure of letters for hormone therapy, surgeries, and other gender affirming interventions. Participants will learn how to write affirming letters that center client autonomy and dignity while meeting the clinical and documentation requirements of medical providers and insurance companies. Special attention will be given to anti-oppressive language, informed consent models, and supporting clients navigating systemic barriers.

Upon completion of this training, participants will be able to:

• Identify the core components and required content of referral letters for gender affirming medical care.
• Describe how to apply the WPATH Standards of Care and informed consent principles when writing letters.
• Describe how to implement affirming, client-centered referral letters that meet clinical and ethical standards while minimizing gatekeeping.

Social workers completing this course receive 2 General Studies asynchronous continuing education credits.

For other board approvals, this course qualifies for 2 General Studies continuing education training.

Instructor: Dreya Blume, LCSW

Recording Date: 10/21/2026