Provide the following information to determine the estimated number of sessions needed and cost.

SERVICE DESIRED

>> SELECT A SERVICE TO CONTINUE <<

PROCEDURE DESIRED

PROCEDURE DESIRED

GENDER FEELINGS AND EXPERIENCE

If you are unable to identify with four KEY characteristics, it is possible you do not meet the criteria for Gender Dysphoria. To move forward with this form, you must click the “I DO NOT IDENTIFY WITH AT LEAST FOUR OF THE ESSENTIAL"

Based on your responses, you do not meet the criteria for gender dysphoria. It is possible you did not understand the wording, or you are confused about how you feel. If you wish to restart this survey

IMPORTANT INFORMATION ABOUT STATE LAWS

Every state creates its own laws for online counseling. Some states offer the option for a limited number of courtesy sessions for providers licensed in other states, and others are less generous. We will need to explore current state laws for your state. I am licensed only in the state of Indiana. It is always an option for us to do clinical work together (assessment and referral) if you are able to schedule an IN-OFFICE session with me in my Indiana office.

IMPORTANT FOR NON-US CITIZENS

It is essential that you can speak English in order for me to work with you. I am not aware of the local cultural issues, laws, and dangers of many non US cultures. This could prevent you from getting the care you need and deserve. NOTE: I do not prescribe hormones, I only provide assessments and referrals to medical doctors who then prescribe the hormones.

READINESS FOR HRT

READINESS FOR SURGERY

*Items marked with a (*) are typically required criteria by most surgeons as well as most insurance companies (if you are using insurance).

I only work with adults, which requires that you are either emancipated from your parents, or you are at least 18 years of age.

If you are struggling and you need someone to talk to, here is a link with resources you can turn to right now.

ESTIMATED SESSIONS AND COST FOR HRT REFERRAL

Based on the provided information, IT IS REASONABLE TO EXPECT A LETTER OF REFERRAL FOR HRT IN 2 or 3 SESSIONS assuming there are no unexpected circumstances or variables that would prohibit that from happening.

My role in providing a letter of referral for HRT is based on the guidelines outlined in the Standards of Care v.7. As such, I am responsible to assess that you meet the criteria for Gender Dysphoria, as well as the “readiness criterea” which essentially means that you are in a life situation that will allow you to succeed on HRT.

SCHEDULING SESSIONS
To schedule with me, go to omaratime.com and regsiter as a new client. Select the day, time, and type (online or in-office) of session you prefer, and then complete the related intake forms. This process is 100% paperless, and all information is stored in a confidential HIPPA approved, client portal to which you will have access.

SESSION FEES
50 minutes = $130
85 minutes = $205
120 minutes = $280

I look forward to meeting you and assisting you as you journey toward your most authentic self.

ESTIMATED SESSIONS AND COST FOR HRT REFERRAL

Based on the information you have provided, it appears you qualify for my Quick-Assess option. This is an 85-minute session, 60 of which we will meet to conduct the assessment, after which I will spend the remaining 25 minutes completing the documentation for your referral and provide you a copy of your referral letter within 30 minutes following our session. Because we have not actually met yet, I can not offer this as a guarantee, but it is typically a very accurate prediction based on the information you have provided.

My role in providing a letter of referral for HRT is based on the guidelines outlined in the Standards of Care v.7. As such, I am responsible to assess that you meet the criteria for Gender Dysphoria, as well as the “readiness criterea” which essentially means that you are in a life situation that will allow you to succeed on HRT.

SCHEDULING SESSIONS
To schedule with me, go to omaratime.com and regsiter as a new client. Select the day, time, and type (online or in-office) of session you prefer, and then complete the related intake forms. This process is 100% paperless, and all information is stored in a confidential HIPPA approved, client portal to which you will have access.

THIS COST FOR A QUICK ASSESSMENT AND SAME-DAY REFERRAL FOR HRT IS $205

I look forward to meeting you and assisting you as you journey toward your most authentic self.

ESTIMATED SESSIONS AND COST FOR SURGERY REFERRAL

Based on the information you have provided, it appears you qualify for my Quick-Assess option. This is an 85-minute session, 60 of which we will meet to conduct the assessment, after which I will spend the remaining 25 minutes completing the documentation for your referral and provide you a copy of your referral letter within 30 minutes following our session. Because we have not actually met yet, I can not offer this as a guarantee, but it is typically a very accurate prediction based on the information you have provided.

My role in providing a letter of referral for surgery is based on the guidelines outlined in the Standards of Care v.7. As such, I am responsible to assess that you meet the criteria for Gender Dysphoria, as well as the “readiness criterea” which essentially means that you are in a life situation that will allow you to have a successful experience.

THE COST OF A QUICK ASSESSMENT AND REFERRAL IS $205

GENDER CLARIFICATION COUNSELING OR COACHING INFO

SCHEDULING SESSIONS
To schedule with me, go to www.omaratime.com and regsiter as a new client. Select the day, time, and type (online or in-office) of session you prefer, and then complete the related intake forms. This process is 100% paperless, and all information is stored in a confidential HIPPA approved, client portal to which you will have access.

SESSION FEES
50 minutes = $130
85 minutes = $205
120 minutes = $280

I look forward to meeting you and assisting you as you journey toward your most authentic self.

COUPLES COUNSELING INFORMATION

Here is immediate information for you regarding COUPLES COUNSELING WITH MICHELE O’MARA, PHD

As a Certified Imago Therapist, a trained Gottman Therapist, and a Clinical Sexologist, Michele brings both experience and training to her work with couples.

SESSION FREQUENCY
The number of sessions required for couples counseling varies according to the issues presented. Typically couples will meet every other week, and you are often provided homework in between sessions.

SCHEDULING SESSIONS
To schedule with me, go to omaratime.com and regsiter as a new client. Select the day, time, and type (online or in-office) of session you prefer, and then complete the related intake forms. This process is 100% paperless, and all information is stored in a confidential HIPPA approved, client portal to which you will have access.

SESSION FEES
50 minutes = $130
85 minutes = $205
120 minutes = $280

I look forward to meeting you and your partner, assisting you as you pursue a healthy, connected, and satisfying relationship.

STOP HERE: Based on your responses, you do not meet the readiness criteria for a letter of referral according to the Standards of Care. It is possible you qualify for an exception, if you would like to email me.

Next Steps for HRT Referral

While the results of this form are generally reliable, it is essential to submit your information to Michele O’Mara for verification of the session estimate provided here. Typically, you will receive a response from Michele O’Mara within 24 to 48 hours, which will include specific information about how to schedule and what forms will need to be completed.

Next Steps for A Surgery Referral

While the results of this form are generally reliable, it is essential to submit your information to Michele O’Mara for verification of the session estimate provided here. Typically, you will receive a response from Michele O’Mara within 24 to 48 hours, which will include specific information about how to schedule and what forms will need to be completed.


Additional Resources

Thank you for considering working with Michele O’Mara, PhD. Here are additional services available that might interest you.

TRANS SUPPORT GROUP ONLINE (www.transsuport.online)
You are also welcome to participate in a weekly online transgender peer support group. Meetings are held Wednesdays at 5:30pm EST. You would be in a video room with other folks with gender concerns where you can discuss your feelings, ask questions, and get peer support.

COACHING CHAT (www.coachingchats.com)
The other non-clinical option I offer is a question and answer service called Coaching Chats where you have the option to share your situation and ask for advice or suggestions about your gender concerns.

YOUR INFORMATION