Thank you for trusting our counseling office.

Melissa is a Licensed Clinician that helps transgender and nonbinary clients with their journey in receiving gender affirmation surgery letters. The process of providing an evaluation is a unique experience in which Melissa works closely with those she serves in a course of sessions until the completion of the evaluation. Melissa aids persons in their journey for gender reassignment by providing clinical letters requested by medical professionals. This is a service for persons 18 years of age and older.

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During your counseling sessions, we want to work closely with you to create a relationship in which you feel comfortable and supported. Our goal is to answer your questions to the best of our ability and to be with you in your journey of receiving the gender affirmation surgery letter. During the sessions, the counselor will work closely with you to ask questions related to your symptoms, personal background, family history, and other medical and psychosocial pertinent areas. At the discretion of the counselor, you may be asked to take psychometric inventories, these are simple mental health assessments that help the counselor get to know you a little bit better. 

As each session gets closer to the final session, the counselor will begin to walk you through the process of the gender affirmation surgery letter. This way you have a clear idea of what will be in the letter. One key item that we encourage our clients to take on is reaching out with questions. If you are working with us or plan to, please reach out and inquire about the gender affirmation surgery letter. We are here to help you in any way that we can. 


Thank you for choosing to work with the Santos Counseling PLLC office! 

You can schedule your first counseling session with Melissa in a number of ways. You are able to call our office to speak with the intake coordinator who can get you scheduled 336-663-6570 or email [email protected]

Our office also has an online scheduling system. All you have to do is click the button below. After you click, you can select to work with Melissa and see her availability. Select the time that best works for you. All your intake documents can be completed online or at the office. You will receive appointment reminders and your own client portal giving you access to schedule sessions and to communicate with your counselor in a secure manner. 

Hi, I’m Melissa and I’m excited to work with you. Please watch the video as a simple way to get to know me before our first session. As always, you are welcome to email me or call in case you have any questions that I can help you with. I look forward to working with you in receiving your gender affirmation surgery letter.