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Transgender Education References and Training Resources

  • These education references and training resources are built on evidence-based practice guidelines and standards of care. 
  • These resources apply to both Direct CareDirect care refers to military hospitals and clinics, also known as “military treatment facilities” and “MTFs.”direct care and Purchased CareThe TRICARE Health Program is often referred to as purchased care. It is the services we “purchase” through the managed care support contracts.purchased care network and non-network TRICARE-authorized providers.

Policies

File Description Date
Military Service by Transgender Persons and Persons with Gender Dysphoria In accordance with the authority in DoD Directive 5124.02, this issuance establishes policy, assigns responsibilities, and prescribes procedures regarding the standards for military service accession, retention, separation, in-service transition, and medical care for Service members and applicants for accession to the Military Services with gender dysphoria or who are transgender, as applicable. 9/4/2020
(DTM)-19-004 -Military Service by Transgender Persons and Persons with Gender Dysphoria (Change 1) Implements the policy in the February 22, 2018 Secretary of Defense Memorandum and the February 2018 DoD Report and Recommendations on Military Service by Transgender Persons, assigns responsibilities, and prescribes procedures regarding the standards for accession, retention, separation, in-service transition, and medical care for Service members and applicants with gender dysphoria, as applicable. This DTM is effective April 12, 2019. This DTM will be incorporated into DoDIs1300.28, 1332.14, 1332.30, and 6130.03, and supersedes any contradictory guidance in those publications. This DTM will expire effective September 12, 2020. 3/17/2020
Air Force Policy Memorandum Military Service by Transgender Persons and Persons with Gender Dysphoria This Air Force Policy Memorandum immediately establishes specific Air Force policy and provides guidance associated with the accession and in-service transition of exempt Airmen identifying as transgender with a diagnosis of gender dysphoria. Compliance with this memorandum is mandatory. 8/15/2019
Guidance for Medical Care in Military Treatment Facilities for Service Members Diagnosed with Gender Dysphoria Guidance for Medical Care in Military Treatment Facilities for Service Members Diagnosed with Gender Dysphoria 3/12/2019
Military Service by Transgender Persons and Persons with Gender Dysphoria This Fact Sheet for Service Members discusses the Department of Defense policy with respect to Military Service by Transgender Persons and Persons with Gender Dysphoria, and answers frequently asked questions about the policy 3/1/2019
Interim Defense Health Agency Procedures for Reviewing Requests for Waivers to Allow Supplemental Health Care Program Coverage of Sex Reassignment Surgical Procedures The purpose of this memorandum is to share with you the procedures the Defense Health Agency (DHA) will follow to consider requests for a Supplemental Health Care Program (SHCP) waiver to allow coverage of sex reassignment surgical procedures. 11/13/2017

Treatment Guidelines

File Description Date
CORRIGENDUM FOR “Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline” This describes errors made in the original document, and summarizes the corrections made to the recommendations. 7/2/2018
Endocrine Treatment of Gender-Dysphoric/ Gender-Incongruent Persons: An Endocrine Society* Clinical Practice Guideline This Guideline updates the “Endocrine Treatment of Transsexual Persons: An Endocrine Society Clinical Practice Guideline,” published by the Endocrine Society in 2009. 9/13/2017

Additional Resources

File Description Date
DODI 6310.09 Health Care Management for Patients Associated With a Sexual Assault Establishes policy and assigns responsibilities for developing and publishing procedural guidance for providing health care in the Military Health System. 5/7/2019

Archives

File Description Date
Air Force In-Service Transition of Airmen Identifying as Transgender This memorandum extends the policy and guidance associated with in-service transition of Airmen identifying as transgender established in Air Force Policy Memorandum 2016-36-01 (AFPM2016-36-01), dated 6 October 2016. To the extent the memorandum's directions are consistent with other Air Force publications, this information herein prevails, in accordance with Air Force Instruction 33-360, Publications and Forms Management. 11/1/2018
Military Service by Transgender Individuals -Interim Guidance Consistent with military effectiveness and lethality, budgetary constraints, and applicable law, this memo describes the DoD's plan to implement the policy and directives in the Presidential Memorandum, "Military Service by Transgender Individuals," dated August 25, 2017. The plan will establish the policy, standards and procedures for transgender individuals serving in the military. 9/14/2017
Air Force Policy for In-Service Transition for Airmen Identifying as Transgender This memo establishes specific Air Force policy and provides guidance associated with in-service transition of Airmen identifying as transgender. 10/6/2016
DoDI 1300.28: In-Service Transition for Transgender Service Members This DoDI establishes a construct by which transgender Service members may transition gender while serving; enumerates prerequisites and prescribes procedures for changing a Service member’s gender marker in the Defense Enrollment Eligibility Reporting System (DEERS); specifies medical treatment provisions for Active Component (AC) and Reserve Component (RC) transgender Service members; and implements the policies and procedures in Directive-type Memorandum 16-005. 10/1/2016
BUMED Notice 6000: Medical Treatment of Transgender Service Members - Interim Guidance This policy implements the policy established by the Secretary of Defense for in-service transition for transgender Service members in Navy medical treatment facilities. 9/27/2016
Interim AMEDD Guidance for Trangender Medical Care This memo provides interim guidance regarding the medical evaluation and treatment of active duty transgender Service Members. 8/3/2016
Directive Type Memorandum: Military Service of Transgender Service Members This DTM establishes policy, assigns responsibilities and prescribes procedures for the standards for retention, accession, separation, in-service transition and medical coverage for transgender personnel serving in the Military services. 6/30/2016

You also may be interested in...

Military Service by Transgender Persons and Persons with Gender Dysphoria

Policy

In accordance with the authority in DoD Directive 5124.02, this issuance establishes policy, assigns responsibilities, and prescribes procedures regarding the standards for military service accession, retention, separation, in-service transition, and medical care for Service members and applicants for accession to the Military Services with gender dysphoria or who are transgender, as applicable.

(DTM)-19-004 -Military Service by Transgender Persons and Persons with Gender Dysphoria (Change 1)

Policy

Implements the policy in the February 22, 2018 Secretary of Defense Memorandum and the February 2018 DoD Report and Recommendations on Military Service by Transgender Persons, assigns responsibilities, and prescribes procedures regarding the standards for accession, retention, separation, in-service transition, and medical care for Service members and applicants with gender dysphoria, as applicable. This DTM is effective April 12, 2019. This DTM will be incorporated into DoDIs1300.28, 1332.14, 1332.30, and 6130.03, and supersedes any contradictory guidance in those publications. This DTM will expire effective September 12, 2020.

Air Force Policy Memorandum Military Service by Transgender Persons and Persons with Gender Dysphoria

Policy

This Air Force Policy Memorandum immediately establishes specific Air Force policy and provides guidance associated with the accession and in-service transition of exempt Airmen identifying as transgender with a diagnosis of gender dysphoria. Compliance with this memorandum is mandatory.

Guidance for Medical Care in Military Treatment Facilities for Service Members Diagnosed with Gender Dysphoria

Policy

Military Service by Transgender Persons and Persons with Gender Dysphoria

Policy

This Fact Sheet for Service Members discusses the Department of Defense policy with respect to Military Service by Transgender Persons and Persons with Gender Dysphoria, and answers frequently asked questions about the policy

Air Force In-Service Transition of Airmen Identifying as Transgender

Policy

This memorandum extends the policy and guidance associated with in-service transition of Airmen identifying as transgender established in Air Force Policy Memorandum 2016-36-01 (AFPM2016-36-01), dated 6 October 2016. To the extent the memorandum's directions are consistent with other Air Force publications, this information herein prevails, in accordance with Air Force Instruction 33-360, Publications and Forms Management.

CORRIGENDUM FOR “Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline”

Policy

This describes errors made in the original document, and summarizes the corrections made to the recommendations.

Interim Defense Health Agency Procedures for Reviewing Requests for Waivers to Allow Supplemental Health Care Program Coverage of Sex Reassignment Surgical Procedures

Policy

The purpose of this memorandum is to share with you the procedures the Defense Health Agency (DHA) will follow to consider requests for a Supplemental Health Care Program (SHCP) waiver to allow coverage of sex reassignment surgical procedures.

Military Service by Transgender Individuals -Interim Guidance

Policy

Consistent with military effectiveness and lethality, budgetary constraints, and applicable law, this memo describes the DoD's plan to implement the policy and directives in the Presidential Memorandum, "Military Service by Transgender Individuals," dated August 25, 2017. The plan will establish the policy, standards and procedures for transgender individuals serving in the military.

Endocrine Treatment of Gender-Dysphoric/ Gender-Incongruent Persons: An Endocrine Society* Clinical Practice Guideline

Policy

This Guideline updates the “Endocrine Treatment of Transsexual Persons: An Endocrine Society Clinical Practice Guideline,” published by the Endocrine Society in 2009.

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