Dr. Kate Stewart provides in-person sessions in Madison as well as video sessions for clients who cannot meet in-person. She is always learning how to better serve the trans community and is committed to learning!

Dr. Stewart has worked with transgender clients for over a year, and writes letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents.

Dr. Jean M. Monty has worked with a small number of transgender clients over 5+ years and is willing to write letters supporting trans clients updating their identity documents or other records.

Chelsea O'Neil Karcher is an art therapist, mental health counselor, and birth doula at the Center for Community Healing. She has worked with 50+ transgender clients in 5+ years, and writes letters of recommendation/referral for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents and other records.

Dr. Theron Parsons has worked with 25+ transgender clients in 10+ years. According to Dr. Parsons: "I provide a supportive, therapeutic environment for individuals who identify with the transgender and gender-variant community. I provide both pre and post transition support as well as psychosocial assessments for individuals exploring hormone replacement therapy and/or gender affirmation procedures." His other topics of focus include relationships, parenting, and domestic violence.

Dr. Parsons writes letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents and other records.

David Mischel has worked with transgender clients for 5+ years. As part of his practice, he writes letters of referral/recommendation to support trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents and other records.

Dr. Rebecca Radue has worked with transgender clients for 5+ years, and writes letters of recommendation/referral for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents.

Eric Ehrke has worked with a small number of transgender clients over 5+ years. He writes letters of referral to support trans clients seeking hormone therapy and updating identity documents and other records.

Julie Fischer describes her practice as "Feminist-Holistic framework; advocating and supporting and empowering! 'Healing, Health and Happiness through Empowerment.'" Julie has worked with over 50 transgender clients in 10+ years. She writes letters of referral/recommendation for hormone therapy, gender-affirming surgery, and updating identity documents and other records.

Brittney Carter, LPC, has worked with transgender clients for over a year, and writes letters of recommendation/referral for trans clients seeking hormone therapy, gender-affirming procedures, and updating identity documents and other records.

According to Jan Singer, "My vision for my clients is for each one to fall in love with themself. I do an action oriented/body oriented therapy using several modalities." Jan works with children as young as 6 to older adults.

Jan has worked with 25+ transgender clients in over 10 years, and writes letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents or other records.

Dr. William Hutter has worked with transgender clients for 5+ years, and writes letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents or other records. Dr. Hutter also offers e-therapy on a HIPAA compliant platform.

Debrah Schlapper, LPC, has been working with transgender clients for over a year. She writes letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents or other records.

Elizabeth (Betsy) Grant, LPC, follows a holistic treatment approach encompassing a mind, body, soul approach. She also works with the family system to support & educate the whole system of her clients. She has worked with transgender clients for over a year, and writes letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents.

Dr. Andrea R. Vogel works closely with people who have issues with food, weight & body image, and BDD. She has worked with transgender clients for 5+ years and writes letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents.

Neeley Welch-Lamers has worked with 25+ transgender clients in over 5 years. She writes letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and is also willing to write letters supporting trans clients updating their identity documents or other records.

Dr. Cynthia Rassiga-West has worked with transgender clients for 10+ years. She uses the psychotherapeutic - family systems informed consent model in her practice. Dr. Rassiga-West writes letters of referral/recommendation for trans clients seeking hormone therapy and updating identity documents or other records.

Dr. Leah O'Reilly has worked with transgender clients for over a year. She writes letters of referral/recommendation for trans clients seeking gender-affirming surgery and updating identity documents and other records. She is also willing to write letters supporting trans clients seeking hormone therapy.

Dr. O'Reilly is always excited to learn more and acknowledges that she will never have the same amount of knowledge or experience as someone who is non-binary/trans. She also conducts psych evals for diagnostic clarification/treatment recommendations.

Jessica R. Thering is the owner of Trilogy Counseling Services as well as a clinician there. According to Thering, "I am skilled at using evidence-based techniques to help clients lead healthier, happier lives. I believe in focusing on personal strengths to foster growth, gain insight, as well as a deeper understanding of themselves to create more fulfilled lives." Jessica Thering has worked with transgender clients for 5+ years.

Owen Karcher has worked with 50+ transgender clients in over 5 years. About his practice, Karcher says, "I am a transgender therapist and the vast majority of my clients are transgender. I speak Spanish and offer therapy in Spanish and have written letters in support of halting deportation proceedings or for clients seeking UVISAS after experiencing various types of violence."

Karcher writes letters of referral for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents. He uses the informed consent model, but also writes letters that meet the WPATH standards to assist trans clients in accessing healthcare. He also uses a social justice model that incorporates the exploration and understanding of oppression and marginalization.

Dr. Stephanie Budge has worked with 50+ transgender clients in over 10 years. As part of her practice, she writes letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents or other records. Dr. Budge only sees clients from time to time, but her department clinic trains all of the therapists in trans affirmative therapy--it is called the Counseling Psychology Training Clinic and offers free/sliding scale fee therapy.

I am a Licensed Professional Counselor and while I would not say I am an expert, I am very willing and interested in working with transgender clients and have some experience working with transgender adolescents. I am EMDR trained as well.

Frederick Harris has over 15 years in the field of behavioral health. His journey started working in the criminal justice system; where he served a diverse population comprised of substance abuse, mental health, homelessness, transitions, family dynamics, and criminal behavior. He has had great opportunities to develop restorative and rehabilitation programs, managed in-patient and outpatient programs for co-occurring disorders, and provided clinical therapy to adolescents and adults from all cultural and socioeconomic backgrounds. His direct, warm, and honest approach has been effective in building and maintaining therapeutic relationships.

Harris has worked with transgender clients for over a year, and writes letters of referral/recommendation for trans clients seeking gender-affirming surgery and updating identity documents or other records.

Lucas Moore has worked with transgender clients for over a year, and writes letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents. Lucas identifies as a cisgender, heterosexual, white male who is doing his best to build being an ally.

Licensed to work effectively with co-occuring substance and mental health diagnoses, Lucas is person-driven in his thinking, and draws primarily from a Cognitive Behavioral Therapy (CBT) approach. With his extensive research, training, and clinical experience, he is able to analyze every issue and situation through multiple lenses, with care arriving at the formulation that offers the richest opportunities for his client to understand obstacles and become effective in removing them.

Able to work with people all over the world on the phone or using Skype.

Dr. Heather Meggers-Wright enjoys working with binary and non-binary folks who are seeking supportive mental health services. She has worked with transgender clients for 5+ years and writes letters of referral/recommendation for trans clients seeking hormone therapy, gender affirming surgery, and updating identity documents or other records.

Dr. Meggers-Wright supports informed consent but does require more than one visit and possible psychological testing if letters or referral are requested in order to provide appropriate and comprehensive recommendations.

Dr. Sue Gill has worked with transgender clients for 10+ years. She describes her practice as an independent private practice for adults with a focus on trauma, PTSD, and LGBTQ related issues. She writes letters of referral/recommendation for hormone therapy, gender-affirming surgery, and updating identity documents or other records.

Emily J. Peterson has worked with transgender clients for over a year. She is happy to write letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents or other records.

Judy Lemke has been working with transgender clients for 5+ years. As part of her practice, she writes letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents.

Sara Olson, LPC, as worked with transgender clients for 5+ years. Recently, she has worked with her clinic to implement policies that allow clinicians to write letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents. In addition, her clinic has worked to bring in both LGBTQ+ and specifically trans-focused trainings to increase the competence of all clinicians at Quest.

Javon Alyasiri has worked with 50+ transgender clients in over 10 years. According to Alyasiri, "Starting from a place of support and acceptance, I specialize in providing a safe, empathetic, therapeutic environment for individuals who identify as part of the transgender, gender-fluid, and gender non-binary communities, or who are exploring their gender identity.

Whether you are looking for reassurance and counseling around your gender identity, support while pursuing transition, or are exploring referral options for hormone therapy and gender affirmation services, we can work together to help you achieve a successful resolution that brings you peace and pride.

In addition to providing therapy services, I also provide psychosocial assessments and reports for individuals who are working with medical professionals during hormone therapy or as they are exploring gender affirmation surgery. The therapy, assessment, and report writing services that I provide follow the Standards of Care of the World Professional Association of Transgender Health (WPATH)."

Works with teens, adults and partners. Doesn't work with young kids.

Madelyn Esposito-Smith is a Certified Sex Therapist at UW Health Behavioral Health and Recovery. She has worked with transgender clients for over a year, and writes letters of referral for trans clients seeking hormone therapy, gender affirming surgery, and updating identity documents.

Carolyn Morris is certified in EMDR (eye movement desensitization and reprocessing) and very experienced with trauma reprocessing. When working with transgender clients, Morris is willing to write letters of referral/recommendation for hormone therapy, gender-affirming surgery, and updating identity documents or other records.

Dr. James R. Lehman has worked with transgender clients for over a year, and writes letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents or other records.

Jaclyn Geitner's background includes extensive experience in treating trauma including the use of Prolonged Exposure (PE) as well as depression and generalized anxiety. She has worked with transgender clients for over a year, and writes letters of referral/recommendation for hormone therapy, gender-affirming surgery, and updating identity documents or other records.

Jocelyn Langholz has been working with transgender clients for 5+ years. She is working in a remote community in northern Wisconsin, where transgender services are limited. Langholz coordinates with David Mischel, LNP in her clinic to provide service to transgender patients and those who are exploring gender identity. She has a working relationship with a local endocrinologist and several primary care physicians to provide informed, respectful care in the immediate community. She is working to expand this local network, as well as increase connection with surgeons in the region to enhance those referrals as they are pursued. Langholz writes letters of referral for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents.

Stacey Dulin has worked with transgender clients for 5+ years. About her practice, she writes, "I am a sole practitioner office that will always be a safe space for marginalized people. I'm experienced in working with the LGBTQIA+ community, with a special interest in working with the trans* community. My focus is a combination of Cognitive-Behavioral Therapy, Compassion-Focused Therapy, and Positive Psychology, among others." Dulin writes letters of referral for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents or other records.

Dr. Allison Allmon Dixson is an Integrated Pediatric Psychologist. She joins appointments with pediatricians for in-the-moment care and sees patients for up to 4 appointments to manage immediate needs as well as help coordinate additional care as appropriate. Dr. Allmon Dixson has worked with 25+ transgender clients in 5+ years, and has written letters of referral/recommendation for hormone therapy and gender-affirming surgery with primary care providers.

Dr. Kim Skerven has worked with transgender clients for 5+ years at her private practice specializing in Dialectical Behavior Therapy (DBT). Dr. Skerven writes letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents or other records.

Emily Lindberg has worked with transgender clients for over a year. Her experience with transgender individuals is with children and adolescents. The youngest she has worked with is 4 years old. She is willing to write letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents.

Dr. Sarah Long works as a psychologist at Gundersen Health, where she offers gender assessments and ongoing therapy. At her private practice, Greater Potential LLC, she offers gender evaluations and writes letters to support medical interventions such as hormone therapy or gender-affirming surgery.

Kelly Theodore, Psychiatric and Family NP, offers gender affirming care in an empathetic and safe space, as well as specialty med management. She has worked with transgender clients for 5+ years and writes letters of referral for trans clients seeking hormone therapy and/or gender-affirming surgery.

Dr. Aruna Tummala is a Psychiatrist who has worked with transgender clients for 5+ years. She takes an integrative & holistic approach to arrive at a person's root cause of their health issues. Her philosophy is to help her patients develop a wholesome sense of self and is there to support whatever path they are on.

Dr. Shalini Varma is a Psychiatrist who has worked with transgender clients for 10+ years. She describes her practice as "holistic and integrative psychiatric care." Dr. Varma writes letters of referral for hormone therapy, gender-affirming surgery, and updating identity documents.

Dr. Erick Sheftic is a Psychiatrist who has worked with 25+ transgender clients in 5+ years. He writes letters of recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents and other records.

Dr. Sheftic writes: "For half of the week, I work in a general outpatient clinic, treating adult patients with a wide variety of psychiatric diagnoses. However, my specialty areas are in Transgender and Non-Binary Mental Health and Borderline Personality Disorder. For the other half of the week, I work on the inpatient psychiatric unit at UW Hospital, supervising resident physicians and treating people experiencing acute mental health crisis."

Dr. Stacy M. Stefaniak Luther approaches each client as a valued individual and provides treatment in an individualized manner with a non-judgmental approach using a variety of therapeutic strategies. Dr. Stacy has some experience working with transgender clients. Her clinic writes letters of referral for hormone therapy, gender-affirming surgery, and updating identity documents, and Dr. Stacy is open to writing letters as well, or providing referrals to other mental health care providers with more trans-specific experience.

Bea Gatchell works with LGBTQ+ survivors of intimate partner violence and sexual violence. They have worked with over 50 transgender clients in 5+ years, and write letters to support trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents or other records. They also write immigration/asylum letters, VESSA rights letters, clinical letters used with Assistant States Attorneys and Judges for clients facing civil or criminal charges, T-Visa and U-Visa letters, and emergency assistance letters.

Natalie Deuster offers outpatient mental health counseling. She has worked with transgender clients for 5+ years and writes letters of referral for hormone therapy and gender-affirming surgery.

Shana Schloemer is a trauma informed therapist in private practice. She is trained in sex therapy and has been doing gender assessments for 9 years, and helps with transition-related issues. She writes letters of referral for trans clients seeking hormone therapy and gender-affirming surgery.

Especially works with youth, as young as 4 or 5 years old; offers youth support group.

According to Alan Irgang: "In my practice, I provide psychotherapy focusing on a broad range of challenges, including substance abuse, depression and anxiety disorders, gender identity, sexuality, and couples counseling. I am also a psychological consultant on transgender health for the Wisconsin Department of Health Services. I have provided treatment to the transgender community for over 25 years and I adopt the informed consent model of care. I am also on the teaching faculty of the School of Social Work at University of Wisconsin-Madison."

Irgang also writes letters for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents or other records.

I work with youth and individuals ages 14-65.

Michael J. Matthias would describe his practice as "supportive, advocating, and comfortable." He has worked with transgender clients for 10+ years, and writes letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents and other records.

Ellice Plant has worked with transgender clients for over a year and transgender students for 10+ years. She works with youth and adults. Ellice writes letters of referral/recommendation for trans clients seeking hormone therapy, gender affirming surgery, and updating identity documents. She discusses options for other providers who offer gende-affirming care with her clients.

Due to CDC guidelines, in-person services at North Node Clinic are suspended. Ellice is currently working only online for telehealth sessions. North Node Clinic is an integratice clinic run by queer and trans practitioners.

I work with youth.

We provide:
Comprehensive primary care and preventive care for members of the LGBTQ community and their families and friends, including psychiatric care.

We additionally provide:
OB/GYN care for lesbian, bisexual and transgender patients.
HIV specialty care and HIV prevention services.
Care for transgender patients, including hormone therapy.

Our skilled staff will meet with patients on an individual basis for comprehensive evaluations, mental health consultations and education. Our services also include puberty-suppressing hormone therapy and gender-affirming hormone therapy. Furthermore, we can provide children and adolescents with connections to appropriate resources and support within the community.

Program manager of an LGBT-specific sexual assault program. The program, IN:POWER The Sexual Harm Response Project, is part of Howard Brown Health.

Paige is a psychologist at a private practice specializing in LGBTQ mental healthcare.

Joseph Dhara describes his practice as: "Welcoming, friendly, warm and respectful therapy for all genders and expression. Helping many people with anxiety, sorting through gender expression and sexual concerns and identities, able to write letters as needed for gender-related services and resources. Continually growing myself, I enjoy helping people figure out their authentic self, and ways of being. I can help you find insight and your personal truth and identity. I am not thrown by much, and welcome those with anxiety, neurodiversity, mental health questions and needs, and those seeking support and / or education related to sexual identities and preferences on a full spectrum, including asexuality, LGBTQ, non-monogamy/polyamory, BDSM/kinks and fetishes, intersex, transgender, non-binary and metagender, as well as body related stress and trauma.

I grew up in conservative religious environment, and have since grown to be more liberal - I initially started counseling as an integrative breathwork and mindfulness practitioner, and am a practicing artist and former competitive classical pianist. I enjoy helping people feel the feelings that can help them feel more alive, and gently assisting with integrating challenging or traumatic experiences or belief systems. I welcome all family / relational systems, and enjoy helping people find and build a life around their strengths and true heart. I am patient, and have lived experiences with many things, including parenting, gender affirmation/transition, various relationships, living with chronic illness, as well as multiple disability and movement related challenges. As much as possible, I seek to help others have a therapy experience that is pleasant, enjoyable, humorous, compassionate, educational, strengthening, and encouraging. I am interested in understanding how the world affects us, and how we can find new pathways that increase comfort and confidence in ourselves."

Joseph has worked with trans clients for 10+ years and writes letters of referral for hormone therapy, gender-affirming surgery, and updating identity documents or other records.

David Bedrin has worked extensively with 50+ transgender clients in over 10 years. He identifies as a gay cisgender man. David Bedrin follows the WPATH standards of care, and writes letters of referral/recommendation for hormones, surgery, and to support transgender clients with updating their identification documents.

Jennifer Webster has worked with 50+ transgender clients for over a year. In addition to offering individual and family counseling for trans individuals, she also runs a trans support group for young adults. This is one of her favorite parts of the job! She writes letters of referral for trans clients seeking hormone therapy, gender-affirming surgery, or changes to their identity documentation.

Webster is able to take a variety of insurances, and is willing to work with clients on a sliding scale basis. She is currently taking on new clients, and tries to keep herself available as a resource for those in the community.

Angela Waldoch is a Licensed Professional Counselor and Registered Art Therapist who has worked with transgender clients for 5+ years. She writes letters of referral/recommendation for trans clients seeking hormone therapy, and is also willing to write letters supporting trans clients seeking gender-affirming surgery or updating their identity documents or other records.

Dr. Victoria Sepulveda has worked with transgender clients for over 5 years. In addition to working with trans individuals, she also provides substance abuse counseling and family counseling. Dr. Sepulveda writes letters of referral/recommendation for trans clients seeking hormone therapy or updating their identity documents, and is also willing to write letters to support trans clients seeking gender-affirming surgery.

Cathy Morrow, LPC, has worked with transgender clients for over a year. She sees transgender clients seeking assistance with transgender issues as well as transgender clients just wanting support for everyday mental health issues. As a part of her practice, she writes letters of recommendation/referral for trans clients seeking gender-affirming surgery and updating their identity documentation or other records.

Alex Einsman is a Licensed Marriage and Family Therapist at Atlas Counseling. He has worked extensively with adolescents and their parents on identity development and enhancing self-esteem, as well as with adults and teens battling depression, anxiety, and other issues. He has also programmed several youth LGBTQ support groups.

Einsman has worked with transgender clients for over 5 years. He writes letters of recommendation/referral for trans clients seeking hormone therapy, gender-affirming surgery, and updating their identity documents or other records.

Devona Marshall has worked with transgender clients for 5+ years. As a part of her practice, she writes letters of recommendation/referral for trans clients seeking hormone therapy, gender-affirming surgery, and updating their identity documents or other records.

Danielle Casper has worked with transgender clients for over a year. She writes letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents or other records.

Danielle Casper is accepting referrals for new clients at Prevea Behavioral Care on a very limited basis. The clinic requires that clients be referred from another provider at Prevea.

Dr. Amy L. Ridley Meyers is a Licensed Psychologist at Children's hospital. She sees clients up until the age of 18 or until they graduate from high school, at which point they are referred to adult providers. Dr. Ridley Meyers has worked with 50+ transgender clients in over 5 years, and writes letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documents or other records.

Diana Westerman has worked with transgender clients for over 5 years. She writes letters of referral/recommendation for trans clients seeking hormone therapy, and is also willing to write letters of referral for gender-affirming surgery.

Amanda Anderson has worked with transgender clients for over a year. She writes letters of referral/recommendation for trans clients seeking hormone therapy and gender-affirmation surgery, and is also willing to write letters supporting trans clients updating their identity documents or other records.

Erika Fountain is extremely thankful to be able to do the work she is doing with transgender clients. She has worked with 25+ trans clients in over 5 years, and writes letters of referral/recommendation for trans clients seeking hormone therapy, gender-affirming surgery, and updating identity documentation or other records (including school or work records).

Dr. Stacy L. Killinger is a PhD Licensed Psychologist at The Psychology Center. She is a general practitioner, but also has specialized trauma training (EMDR) to treat a wide variety of presenting concerns. Dr. Killinger has worked with transgender clients for 5+ years and writes letters of recommendation/referral for trans clients seeking hormone therapy and gender-affirming surgery. She is also willing to write letters to support trans clients updating their identification documents or other records.

Dr. Emily Rademacher is a Psychiatrist at Bellin Psychiatric Center. She has worked with 25+ transgender clients in over 5 years. Dr. Rademacher writes letters of referral for trans clients seeking hormone therapy, gender-affirming surgery, and updating identification documents or other records. Her practice is currently closed to new clients, but she accepts some on a case-by-case basis.

Rachel M Slough-Johnson is a Psychotherapist in a grant-funded program and is limited to seeing folx who have experienced sexual abuse/assault or impacted by others' experience. She has worked with transgender clients for over a year, and writes letters of referral/recommendation for trans clients seeking hormones, surgery, and updating identity documents.

Shannon Juniper Neimeko is a counselor and art therapist with an emphasis on serving LGBTQ+ and TGNC people, identity development, and supporting those experiencing minority stress. They identify as White, Queer, and Genderqueer. Shannon has worked with 50+ transgender clients in over a year. In their practice, Shannon writes letters of referral for hormones and surgery using the WPATH standards of care for those who need. They also write letters supporting trans clients updating their identity documents or other records.