Yes, you can read more about this here

At this time I only have virtual appointments available through a secure, HIPPA compliant software.

I specialize in seeing individuals who are at least 18+ years old. If you are looking for couples/family/child counseling services, I can provide you with a list of referrals. 

Unfortunately, I am only licensed in Washington at this time. This means I can only conduct therapy with folks who are also in Washington. 

It is not within my scope to sign any disability or FMLA forms.

I am hesitant to provide any letters that disclose the fact that you are my client as this is a breach in confidentiality. HOWEVER, that does not mean I am not willing in specific situations. I will write letters that I feel are within my scope and well-supported. 
Specific letters:

Proof of Treatment.
As long as you are my client, if you need an attendance record or statement that you are attending therapy with me, writing this letter should not be a problem. Please consider the possible cons of having this letter as it is a breach of your confidential treatment information.

Gender Affirming Care.
Most likely, yes. I would like to have worked with you for at least 6 months but either way, lets talk about it. This is a letter I take incredibly seriously because of how important surgery can be for folks who need it, especially in a country where this necessary care is met with increasing hostility. I have sought out trainings for writing the strongest gender affirming care letter possible, and I utilize the World Professional Association for Transgender Health (WPATH) organization's standards of care as my guideline to good care. 

Know that for me to write this letter:
1. You must have a diagnosis of gender dysphoria or gender identity disorder. 
2. I must disclose general identifying characteristics.
3. I must disclose results of a psychosocial assessment, including any diagnoses.
4. I must disclose the duration of my professional relationship with you, including the type of evaluation and therapy or counseling to date.

Emotional Support Animals.
For a therapist, this is the wild west of letter writing. I love animals and truly believe they enrich our lives. I absolutely believe they can help us through mental struggles. However, this is a relatively unregulated and unclear intersection of mental health and law.

Before I write a letter (which does not necessarily guarantee your residence will abide by my recommendation), I need to know some history. I am not comfortable writing this kind of letter during a first, second, or third session. Ideally if this were to ever come up, we would have already had a months-long therapeutic relationship where it has been evident that 1) you already have this animal and 2) they really are essential to your well-being.
I will not write a letter if you are planning to get an animal and do not already have one. Owning a pet can be a huge responsibility. They take our care, our time, and can be a large financial burden at times. If you do not have your animal yet, I cannot know if it will truly be more helpful than harmful to you. 

Below is a graphic provided by the WA State Service Dog Association that breaks down the specifics of service animals vs emotional support animals vs therapy animals. Service animals are not categorized as pets and should always be exempt from any "no pets" policies. Visit www.waservicedog.org for more information.

I do not conduct assessments for ADHD or Autism as these are special cases which require a higher level of training than I have. I would like to be able to conduct these evaluations one day, but cannot at present moment.