The certification is based on your physician's clinical assessment of your treatment. The medical certification you submit must either state that you are in the process of transition 2-year passport or have had appropriate clinical treatment for transition year passport for adults, 5-year passport for children under Certifications from other practitioners such as psychologists, physician assistants, nurse practitioners, health practitioners, licensed vocational nurses, registered nurses, chiropractors, or pharmacists are not acceptable. Yes, you still need to submit a medical certification. If your name change occurred more than one year prior to your application, you must obtain an ID in your new name before a passport may be issued. Not if your name change occurred within one year of the date you submit your passport application. A description of specific treatments is not required in the medical certification. Please follow the instructions in the letter.
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