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 Frequently Asked Questions 

  • Can I obtain a letter for surgery without undergoing counseling?
    We offer gender-affirmation surgery letters for those looking for just the letter. Letter writing request does include one counseling session to gather the information necessary for the letter. The option to continue counseling services is at the discretion of the client.
  • Do you offer in person sessions?
    At this time we are a telehealth ONLY practice. Sessions are held using a HIPAA-compliant program.
  • Do you offer Couple's therapy?
    Yes, currently Lakshmi Jaiprakash, APCC and Adrian Belmes, AMFT offer couple's counseling services. If you would like to be on the waitlist for couple's counseling please email for more information.
  • Do you offer a sliding scale for payment?
    Sliding scale fees based on income are offered on a case by case basis with prior approval from your therapist. Please reach out to one of our therapists to discuss your options.
  • What is your cancellation policy?
    Cancellations will be charged $50 if notice is NOT RECEIVED AT LEAST 24 HOURS IN ADVANCE. No Shows will be charged the full session fee. This requirement is necessary because dedicated time is allocated exclusively for your sessions, and it is a commitment made to ensure the highest level of care and attention. Please note that this fee is not covered by insurance.
  • What days of the week are sessions available?
    Sessions are available Monday through Friday. Requests for weekend hours can be made with an individual therapist.
  • How long is a session?
    Therapy sessions are typically 50-60 mins in length.
  • Which insurance do you accept?
    We currently accept Aetna, Optum/United Healthcare, Blue Shield Blue Cross, Magellan, Cigna, Carelon/Kasier Northern California HMO, Beacon. We also offer credit card pay and superbill options for Out-Of-Network insurance.
  • What is a Good Faith Estimate?
    You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit
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