This sample text is for a letter from a registered medical practitioner certifying the gender of a sex and gender diverse applicant. This letter should be used for applicants who have had, or are receiving, appropriate medical treatment (including sex reassignment surgery) for gender transition and are seeking a passport in MALE or FEMALE.

Registered medical practitioner’s letterhead

(including full name and contact details)

I, <medical practitioner’s full name> am the doctor of <name of patient> with whom I have a doctor/patient relationship and whom I have treated (or with whom I have a doctor/patient relationship and whose history I have reviewed and evaluated).

<Name of patient> has had, or is receiving, appropriate clinical treatment for gender transition to the new gender of (specify new gender male or female).

Signature of medical practitioner

Signature block of medical practitioner

Registration number from the medical board of Australia (or equivalent overseas authority)