Section 338-17.7, Hawaii Revised Statutes (HRS), as amended by Act 226 (July 2015) establishes the documentation required when requesting the Department of Health to issue a new birth certificate with a sex designation change.

To request a new birth certificate with a sex designation change:

  1. The requestor or “birth registrant” must be born in the State of Hawaii and have a birth certificate filed with the Hawaii Department of Health.
  1. The requestor must provide a notarized affidavit from a United States licensed physician attesting that:
    • The physician has a bona fide physician-patient relationship with the birth registrant;
    • The physician has treated and evaluated the birth registrant and has reviewed and evaluated the birth registrant’s medical history;
    • The birth registrant has had appropriate clinical treatment for gender transition to the new gender and has completed the transition to the new gender; and
    • The physician has seen a current certified copy of the registrant’s birth certificate and the new gender does not align with the sex designation of the birth registrant’s birth certificate.*

*Please provide a current certified copy of your birth certificate to physician.

Two forms have been created to help a requestor with the application process.  Download the forms here:

Application for Amendment to Birth Record

Physician Affidavit Form for Sex Designation Change

A fee of $3 is charged for each amendment of an item on a given certificate.

Original notarized completed forms and fees may be mailed to:

Department of Health – Office of Health Status Monitoring
Registration/Corrections Section
P.O. Box 3378
Honolulu, Hawaii 96801-3378

Original notarized completed forms and fees may be delivered to:

Department of Health – Office of Health Status Monitoring
Registration/Corrections Section
1250 Punchbowl Street, Room 105
Honolulu, Hawaii 96813

Note:  If the requestor is seeking a name change to be reflected in the new certificate of birth, the requestor shall submit appropriate documentation evidencing a legal name change was completed prior to the establishment of the new birth certificate.  If a legal name change is completed subsequent to the establishment of a new birth certificate, the new birth certificate will have to be amended separately in accordance with name change procedures.

A new certificate of birth established under section 338-17.7, HRS, is substituted for the original certificate of birth. The original certificate and evidence supporting its preparation is sealed and filed and may only be opened by an order of a court of record or by request of the birth registrant.

For questions on establishing a new birth certificate with a sex designation change call the Registration Section at (808) 586-4536.