Treated with hormone therapy for 5 or more years

B. Treated with Hormone therapy* for less than 5 years OR Gender reassignment surgery less than 5 years ago OR History of a coexisting mental health concern OR History of mental health treatment such as psychotherapy or medications for any condition other than Gender Dysphoria (Information is required if the airman has ever had a mental health diagnosis [including substance use disorder] or has received treatment for a mental health condition at any time. If treatment was short-term counseling for Gender Dysphoria only, note in Block 60.)

Submit the following to the FAA for review: ☐ A completed FAA Gender Dysphoria Mental Health Status Report ( PDF ) or an evaluation from the treating physician, using World Professional Association for Transgender Health guidelines (WPATH), which addresses items listed in the Mental Health Status Report. ☐ Updated evaluations AFTER: Hormone therapy : If on hormones, a current status report describing the length of time on the medication and side effects, if any.

: If on hormones, a current status report describing the length of time on the medication and side effects, if any. Surgery: If surgery has been performed within the last one year, a status report from the surgeon or current treating physician showing full release, off any sedation or pain medication, and any surgical complications (e.g. DVT/PE/cardiac, etc.).