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Please note: The GALAP is a grassroots, volunteer project that aims to increase access to free letters for gender-affirming medical care. We are not a group practice, and we do not respond to direct/urgent requests for letters. If you are looking for a provider who may be able to provide a letter, please see our list of pledge signers and contact one of these people in your local area. Please read over our website carefully to better understand the GALAP philosophy and movement.

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The GALAP is not a health system, service, or group psychotherapy practice. We are independent clinicians, and we practice as such. We do not represent any particular organization. While all of the providers who sign our pledge are committed to providing gender affirming care, The GALAP is not liable for the work of any of the pledge signers and cannot attest to the skills or expertise of anyone who signs the pledge.

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