Letters
I am frequently asked to write letters for patients for procedures such as 
Sex Reassignment Surgery and Orchiectomies.
I also receive requests for letters to the State Department for temporary 
passports to travel to Thailand for  SRS.
 
As a rule, I request that you make an appointment to discuss the 
particular letter you need and to verify that I have the 
correct information and addresses.  As the cost of processing letters has 
gone up,  my office sometimes, but not always,
charges a fee for the letters
Below is a copy of the requirements of the State Department for a temporary passport for travel for SRS

Transsexual Resources in Portland