Gender Services

Dr. Austin-Small provides gender-related services and support to adults, including US ex-pats or military service members serving overseas. Please note: Dr. Austin-Small only provides services to persons over the age of 18.

Dr. Austin-Small is licensed in the US and registered with HCPC as a psychologist in the UK. He has years of experience providing in-depth evaluations and documentation in both countries, including UK Gender Recognition Certificate reports and US surgical evaluations. Dr. Austin-Small has undergone post-graduate training in evaluation of gender difference, treatment readiness, capacity, and LGBTQ-related issues and has been providing specialized services for 7 years.

All gender services require face-to-face appointments by videoconference or in person. There are no exceptions.

While prices are listed for transparency, Dr. Austin-Small recognizes the exceptional double burden placed on the LGBTQ community of employment discrimination and substantial private medical costs. For persons of limited means or inability to pay, Dr. Austin-Small can provide sliding-scale or pro-bono evaluation.

Online booking coming soon!

US Services

Gender Change Confirmation Letters

If you are changing your gender marker for your driver's license, birth certificate, or Social Security card, you will need a brief letter confirming gender change. The information to be included may vary from State to State, but generally is standard language on routine forms. Appointment time is scheduled for 30 minutes, and letters are sent to you the same day.  $35 USD, all inclusive.

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US Treatment Readiness Evaluation

A treatment readiness evaluation is a full clinical interview covering social history, work history, medical history, and psychiatric history. Evaluation also involves evaluation of gender development and identity, knowledge of treatment, ability to consent, and potential impact of treatment. A report is authored which fully meets WPATH guidelines. This is the option to select if you are seeking evaluation regarding gender dysphoria, or need documentation to begin treatment with a provider. Please note this is not the appointment to choose if you want an evalaution related to surgery. See below. $200 USD, all inclusive

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US Surgical Evaluation

A surgical readiness evaluation involves a clinical interview assessing social history, work history, medical history, and psychiatric history. Evaluation also involves evaluation of gender development and identity, knowledge of treatment, ability to consent, and potential impact of surgery. The evaluation report will meet WPATH guidelines. Some surgeons require specific report information or formats. Dr. Austin-Small is familiar with the formats required by most larger providers in the US and abroad. If your surgeon requires the ability to speak with Dr. Austin-Small, this can also be arranged. $200 USD, all inclusive

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Let's Work Together

If you are seeking private evaluation, or wish to speak with Dr. Austin-Small regarding a case, please call using the numbers below or email Quinn@qasphd.com.