Patient keeps asking about a letter from me for gender affirming surgery

County clinic M2F patient who wants to have gender affirming surgery wants a letter from me that she is stable to have surgery. She said that the insurance company is asking for a letter from me stating she is mentally sound and competent to under go the procedure. I thought psychiatrists who usually work with surgeons to do these pre-op evaluations. Is this something psychiatrists working in a county mental health department usually do?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Psychiatry Source Type: forums