Update of Gender Marker on HKID -
Medical Certificate
FORMS AND/OR SAMPLE FOR REFERENCE OF MEDICAL CERTIFICATE IN IMMD'S GUIDELINE
If your doctor practises in Hong Kong
- Please ask your doctor to fill in Annex 2
If your doctor practises outside Hong Kong
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Please ask your doctor to fill in Annex 3
Please print a copy of the English version of Annex 2 or Annex 3 of ImmD's Guideline, for your doctor to fill in information.
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If your doctor would like to write a separate letter, please ask them to use exact wordings on the English version of Annex 2 or Annex 3 of ImmD's Guideline.
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E.g. write "removal of the penis and testes" and not "orchidectomy and penectomy", "construction of a vagina" and not "vaginoplasty".
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DATES OF SURGERY(IES), AND START OF HORMONES + LIVING
Dates of surgery(ies), and (If applying with Criterion 2) start of hormones + living
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Recommended for your doctor to write a date with year, month, and day.

MEDICAL CERTIFICATE FOR GENDER-AFFIRMING SURGERY(IES)
Right after your surgery, please ask the surgeon to write this medical certificate, and collect relevant documents (if any).
If needed (E.g. unable to obtain a medical certificate from your surgeon, your original medical certificate is rejected by ImmD due to incomplete information), you may ask any doctor registered in Hong Kong to complete Annex 2 of ImmD's Guideline.
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Please produce relevant records (if any). The doctor may also do a simple examination for you.
The doctor is not required to fill in the items for hormones and living in Annex 2 / 3.
The doctor only needs to fill in the relevant part(s) for the surgery, i.e.
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Part A - Item d;
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If the surgery was not performed by this doctor writing the medical certificate, the doctor also needs to fill in Part B.
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MEDICAL CERTIFICATE FOR HORMONES + LIVING + GENDER DYSPHORIA (ONLY REQUIRED IF APPLYTING WITH CRITERION 2 OR 3)
Please contact the doctor who follows up for you to write this document.
If needed, you may ask any doctor registered in Hong Kong to complete this medical certificate.
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Please produce relevant records, e.g. prescription records, blood reports.
🔔 Attention:
ImmD requires the issue date of medical certificate for hormones + living, to be the same date OR later than the submission date of Form ROP73.
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Medical certificate from private service / doctors outside Hong Kong
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Recommendation: Submit Form ROP 73 with the medical certificate for hormones + living to ImmD, on the same day a doctor issues the medical certificate for hormones + living.
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(Otherwise, first submit Form ROP 73. They then ask a doctor to issue the medical certificate for hormones + living. They would be able to submit the remaining documents after receiving a letter from ImmD)

Submit Form ROP73, on the same day
a doctor issues a medical certificate for hormones + living.

Otherwise, first submit Form ROP73. They then ask a doctor
to issue the medical certificate for hormones + living.
2-4 weeks after the submission of Form ROP73, ImmD would mail a letter to one's address written on Form ROP73.
The letter shows an application number, remaining document(s) to be submitted (if any), and
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Requests for an additional medical certificate for hormones + living: Same content with a later issue date
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To certify one is consistently using hormones, and living in one's gender identity, on and before the submission date of Form ROP73.
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Please follow the instructions on the letter to email, mail, or fax a copy of the document(s).
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Yes.
Submit in 1 medical certificate in total.
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Containing details on surgery, and hormones + living + gender dysphoria, issued by the same doctor. OR
Submit in 2 medical certificates in total
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One for surgery.
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Written by the doctor that performed the surgery.
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One for hormones + living + gender dysphoria.
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Written by another doctor.
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ANNEX 3: MEDICAL CERTIFICATE ISSUED BY A DOCTOR OUTSIDE HONG KONG
Please include the following information for "Medical qualication" on Annex 3.
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Registration number of the doctor
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Medical qualification, its recognizing organization and country/region
(Please note that a hospital/clinic where the doctor works at, although may be included, but this is not the same as the doctor's medical qualification)
ImmD only accepts medical certificate issued by a doctor. In case you are followed by by a Doctor of Nursing Practice, or a Doctor of Osteopathic Medicine, please still ask a doctor to write your medical certificate.
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