FAA Gender Dysphoria Mental Health Status Report 2019-2025 free printable template

FAA Gender Dysphoria Mental Health Status Report (Updated 09/25/2019) Name Birthdate Applicant ID# PI# The following information must be addressed in the treating providers evaluation. Evaluation

How to fill out FAA Gender Dysphoria Mental Health Status

How to fill out FAA Gender Dysphoria Mental Health Status Report

1. Obtain the FAA Gender Dysphoria Mental Health Status Report form from the FAA website or your mental health provider.
2. Read the instructions carefully before filling out the form.
3. Provide your personal information, including your name, contact information, and any relevant identification numbers.
4. Detail your mental health history related to gender dysphoria, including any previous diagnoses and treatments.
5. Include information about ongoing mental health support, therapy, or medications you are currently receiving.
6. Ensure that your mental health provider completes their section of the report accurately and thoroughly.
7. Review the entire document for completeness and clarity before submission.
8. Submit the completed report to the FAA through the appropriate channels, ensuring you keep a copy for your records.

Who needs FAA Gender Dysphoria Mental Health Status Report?

1. Individuals seeking FAA medical certification who have been diagnosed with gender dysphoria.
2. Pilots or aviation personnel undergoing gender transition and requiring documentation of their mental health status.
3. People who need to demonstrate their mental fitness to fly as part of the FAA's regulatory requirements regarding mental health.

People Also Ask about

What are the 2 types of dysmorphia?

There are two subtypes of BDD: Muscle Dysmorphia and BDD by Proxy.

What is the difference between gender dysmorphia and dysphoria?

Gender dysphoria means someone feels the body they were born into doesn't reflect their true self or who they are or identify with in terms of their gender. Body dysmorphia is a disorder that results in someone perceiving a major flaw or problem with their own body, even if that perception is not based in reality.

How do you get gender dysphoria documented?

Your health care provider might make a diagnosis of gender dysphoria based on: Behavioral health evaluation. Your provider will evaluate you to confirm the presence of gender dysphoria and document how prejudice and discrimination due to your gender identity (minority stress factors) impact your mental health.

What is documented gender dysphoria?

Gender dysphoria (GD), ing to the Diagnostic and Statistical Manual of Mental disorders (DSM 5), is defined as a "marked incongruence between their experienced or expressed gender and the one they were assigned at birth." It was previously termed "gender identity disorder."

What is the DSM 4 criteria for gender dysphoria?

The DSM-IV describes gender identity disorder as a persistent and strong cross-gender identification and a persistent unease with ones sex. Gender identity disorder is not diagnosed if these symptoms co-occur with a physical intersex condition.

What is gender dysphoria?

Gender dysphoria occurs when there is a conflict between the sex you were assigned at birth and the gender with which you identify. This can create significant distress and can make you feel uncomfortable in your body. People with gender dysphoria may want to change the way that they express their gender.

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What is FAA Gender Dysphoria Mental Health Status Report?

The FAA Gender Dysphoria Mental Health Status Report is a document that mental health professionals complete to assess the mental health status of individuals with gender dysphoria seeking to obtain or maintain medical certification from the Federal Aviation Administration (FAA).

Who is required to file FAA Gender Dysphoria Mental Health Status Report?

Individuals diagnosed with gender dysphoria who are applying for or holding FAA medical certification are required to file the FAA Gender Dysphoria Mental Health Status Report as part of their evaluation.

How to fill out FAA Gender Dysphoria Mental Health Status Report?

To fill out the FAA Gender Dysphoria Mental Health Status Report, a licensed mental health professional must provide detailed information regarding the individual’s diagnosis, treatment history, current mental health status, and any recommendations for follow-up care.

What is the purpose of FAA Gender Dysphoria Mental Health Status Report?

The purpose of the FAA Gender Dysphoria Mental Health Status Report is to ensure that individuals with gender dysphoria do not pose a risk to aviation safety and to evaluate their mental health in relation to their ability to perform safely as pilots or aviation professionals.

What information must be reported on FAA Gender Dysphoria Mental Health Status Report?

The report must include the individual's diagnosis, treatment history, current medications, symptomatology, functional abilities, and an assessment of their mental health stability, as well as recommendations for further evaluation or treatment if necessary.