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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