One telehealth evaluation
Meet with a clinician by secure video for a gender-affirming care evaluation focused on your specific treatment or procedure request.
Gender-affirming care
Gender Evaluation & Letter Writing Service
An affirming, professional evaluation and a clinical support letter, when clinically appropriate, to support your next step in care—such as surgery or hormone therapy.
$175 — Self-pay only
Get StartedYour package
One evaluation. One clinical support letter.
One clinical support letter
When clinically appropriate, your package includes one letter for one specific treatment or procedure. A favorable letter or acceptance by a surgeon, hormone therapy provider, insurer, or other third party is not guaranteed.
Letters are typically completed within 7 calendar days once all necessary information is received. A separate package purchase is required for each additional evaluation and letter request.
Before you book
A focused service, with clear boundaries.
- This $175 package is self-pay only and is not billed to insurance.
- No medications are prescribed through this service.
- Nureli does not currently provide or prescribe gender-affirming hormone therapy.
- Clinical recommendations depend on the evaluation; purchasing a package does not guarantee a favorable letter or third-party acceptance.
You may separately establish ongoing outpatient psychiatric care using self-pay or eligible insurance. Explore psychiatric care.
Get started with your evaluation.
Telehealth services are available in select states. Please choose the state where you will be located during your appointment to confirm availability.