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Currently we are seeing people virtually within the state of Michigan. 

Letters of Support

Trans is Sacred Zarders Billboard

At RISE, We are all about self-determination, and celebrate trans people making informed and autonomous choices about how they access gender-affirming healthcare. We understand that the requirement for a letter is gatekeeping and we try to make the process as seamless as possible. 

Our team of LGBTQIA+-specialized clinicians provides surgery letters according to WPATH SOC guidelines.

(more about that here:

What we can provide:

  • We can provide medical letters for gender-affirming surgery.

  • We can provide surgery referral letters for those seeking top surgery (including breast augmentation) and facial feminization surgery (FFS).

  • We can provide referral letters for bottom surgery (including vaginoplasty and hysterectomies).

  • We can provide medical letters to get insurance approval and coverage. 

What we can’t provide:

  • We do not offer physical exam clearance letters for surgery.

  • We cannot provide medical clearance for surgery.

Currently, letters of support are written by our practice director whose session fee is $200 per session. 

Letters of support require one therapy session and session fees can be paid:



With Insurance, we only aceept:

Blue Cross Blue Shield (BCBS) & Blue Care Network (BCN) 

Note: Please check your insurance card

BCBS, BCN & BCC look really similar but they are not the same.

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Blue Cross Complete Logo
Credit Cards Accepted

Please note:
Client information is encrypted and secure for ALL clients. 

However, IF you are concerned about the potential of insurance companies having access to your information; for those who pay out of pocket, your information is encrypted and not accessible to anyone you have not authorized, including insurance companies.

To learn more click the Simple Practice icon.

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Sex therapy does not involve sex, sexual touch, nudity, or physical examinations of any kind…Ever.

There are often misconceptions about what a sex therapist does as part of their therapeutic work with clients and what training is required to practice sex therapy. All sex therapists are licensed mental health professionals with a degree in social work (LMSW), psychology (PhD, PsyD), or psychiatry (MD) who have sought additional post-graduate training in supporting people with sexual health concerns/difficulties. Certified Sex Therapists (CST) have completed the required educational training, supervision, and clinical experience required by The American Association of Sexuality Educators, Counselors, and Therapists (AASECT). 

Sex therapists work with individuals and relationships (2 or more people) to help resolve sexual health concerns. We assess multiple areas of a client’s life and collaborate with other medical providers to rule out and/or address physiological/medical attributes that may be contributing to the concern. RISE is an  affirming space which values the spectrum of human diversity, empowering individual expression, and intentionally tailoring treatment to the goals and desires of each client.


Just like traditional therapy for mental health concerns, sex therapists and clients talk and assess the situation through questions, descriptions of the concern, and collaboration with other medical providers. Certain treatment approaches and interventions may involve activities or exercises for the client to try in the privacy of their home, but these exercises never take place in a therapist’s office or during teletherapy. 

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