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Under the current policy, a physician certification is required if the documents you submit with your application, which may include a prior passport, driver’s license, birth certificate, or other documents, do not all reflect the correct gender.
If, however, the other parent lives out of state and must be informed of the petition by mail or by the local newspaper in that area, the court will consider the name change only after 60 days have passed.
Sources: Department of Driver Services & Official Code of Georgia.
Under the current policy, you can obtain a full ten-year passport with an updated gender marker if you have had clinical treatment determined by your doctor to be appropriate in your case to facilitate gender transition.
No specific details are required about what type of treatment is appropriate for you.
Please note, it does not matter that you do not have any documentary evidence of your former name change.