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    Department of Health
    Adi Chen will soon begin the process of changing their gender designation to ‘x’ on their Washington birth certificate. Photo by Melissa Hellmann                                Adi Chen will soon begin the process of changing their gender designation to “x” on their Washington birth certificate.                                 Photo by Melissa Hellmann
    An Official Third Option for the Gender Nonbinary
    By Melissa Hellmann • February 28, 2018 7:00 am

    A new Washington Department of Health rule offers a birth certificate gender beyond male or female.

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