So I know that I have my local planned parenthood which provides hormone therapy… but a number of things from surgeries to in some states documents are locked behind a history of treatment with doctors and therapists/phycologists. As far as my primary care doctor, I lucked out, and they seem supportive already. I am on a marketplace plan, though, so looking for very affordable mental healthcare options explicitly that will be willing to work with me in the future should I need to provide a history of care.
I thought a good option considering the conservative state, and most mental healthcare options in my area advertising their “Christ First” doctrines, I may be best served with online alternatives. But as far as I can tell, none of the online therapy sources state that they are willing to provide these resources. Instead, they just talk about mental health concerns of LGBTQ people, and most don’t mention anything about providing documentation to meet legal and medical requirements.
I currently use Ginger thru Kaiser (who didn’t have adequate therapists to schedule me regularly). The therapist had LGBT listed as something she had expertise in. She didn’t, not really. But she was open and with minimal help, she was able to write WPATH letters for me to get surgery consults. Kaiser itself has gender consultants who are pretty rad.