DOH adds a third option to birth certificate

Jan 10, 2018

The Department of Health announced last Thursday, Jan. 4, that a new rule will allow people to change the sex designation on their Washington birth certificate to “X” beginning on Jan. 27.

After receiving and considering public comment, the agency determined that this rule change would provide individuals with the option to have a birth certificate that aligns with their gender identity.

The new section of the current Washington Administrative Code 246-490 establishes requirements for individuals who want to change the sex designation on their birth certificate to male, female or “X”.

The rule:

  • Adds “X” as an approved sex designation option.
  • Removes the requirement for medical attestation for adults making a request.
  • Expands the list of licensed health care professionals who can attest to the gender change for minors.

Minors wanting to change their sex designation must have written consent of their parent or legal guardian and an attestation by a licensed health care professional.

Health care providers who can attest to gender changes for minors include psychologists, advanced social workers, independent clinical social workers, marriage and family therapists and mental health counselors.

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