The GALAP Pledge 2024 Update
Thank you for your interest and willingness to be a part of the Gender Affirmative Letter Access Project.
  
  
The following required information will be visible on the new directory (unless otherwise specified):
  • First Name & Last Name (only first name and last initial will be displayed)
  • Credential Level
  • Credential Type (state-issued licenses only)
  • Practice State(s)
  • Practice Setting(s)
  • Provider Language(s)
The following information is optional to provide, but will be publicly visible if provided:
  • Provider's Personal Lived Experience
  • Special populations served
  • Number of No-Cost Letters Available Per Month
  • Typical Wait Time for Letter Session
The following is required and will be visible only to the administrators:
  • Email


Even though you have signed the pledge in the past, we ask that you complete this form again so that we have up-to-date information, as well as new information that we are asking for.  

Please complete this updated form only once to avoid duplicates.

E-mail *
Do you agree to the GALAP commitments? *
By signing this pledge, you agree to publicly state your commitment to the GALAP movement and actively choosing to not pass on the financial burden of a gatekeeping system.

As a Pledge Signer, I agree to:
1. Complete at least one free session AND letter a month (based on demand).
2. Refrain from charging a fee for any additional letters (beyond the free letter)*, unless covered by insurance.
3. Refer to the GALAP network if you are not able to write any more free letters in a given month.
4. Use an informed consent approach in your interviewing and letter writing process.
5. Understand that the GALAP is not liable for any work you do and that you should work within the bounds of your scope, legal and ethical guidelines, and liability insurance.

*Letters written as part of ongoing therapy with clients who are part of your current practice are charged at the regular therapy rate. Any additional time on letter writing outside the therapy session, including clinical consultation, communication with surgeons and medical staff, should be done for free and not charged to the client. 
New or Ongoing Commitment Selection *
Have you previously signed up and committed to the GALAP?
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