Gender marker change letter

This is the wording of the letter my doctor used for my passport application to get my gender marker changed. I also subsequently used it to get it changed on a driver's license (that may or may not work in your state). 

One of the important words is "complete" - as that can mean whatever your doctor thinks (so not necessarily surgery if you won't or haven't had it).

As you can see, it's a really simple letter and pretty easy to obtain since it's really up to your doctor's discretion. I cannot stress the importance of getting your name and gender marker changed to avoid awkward moments and make transition easier from a legal standpoint! A new passport means proper work authorization too, which can also help you avoid HR/insurance hassles later.

Also note that I'd had my legal name change completed at this point. You don't have to, but I don't want people to think that you can change your name on your passport without the proper paperwork (because you can't).

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To Whom It May Concern:

I am writing on behalf of [Full female name], formerly known as [Full male name], [Date of birth]. I am the physician for Ms. [Last name] and known her for [X amount of time]. I have fully evaluated her and provided medical treatment for gender transition from male to female during this time. Ms. [Last name] transition from male to female is completed after appropriate treatment and she is fully recognized as female.

I declare under penalty of perjury under the laws of the United States that the forgoing is true and correct.

[Doctor Signature]

Doctor name

Address

Phone
Medical license #
DEA ID #

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note: the letter was signed and notarized by a public notary, printed on watermarked office letterhead