BFAAb Gender Dysphoria Mental Health Status Report - bFederalb - faa 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name, birthdate, applicant ID#, and PI# in the designated fields at the top of the form.
3. In the evaluation section, ensure that a qualified mental health professional confirms their credentials as per WPATH guidelines.
4. Address each item regarding psychiatric history. Provide details on current and previous mental health diagnoses, any hospitalizations, and substance use disorders by checking the appropriate boxes and providing explanations where necessary.
5. For psychiatric treatment, list current and previous treatments along with start and end dates. Include medication names, dosages, and any side effects experienced.
6. Indicate the current status of the airman. Confirm if there are no mental health concerns or if psychotherapy is solely for gender dysphoria.
7. Complete the final sections regarding cognitive dysfunction concerns and any additional worries about the airman. Ensure to provide explanations where applicable.
8. Finally, have the treating provider sign and date the report before submitting it to the FAA.

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