Trans Resource Navigator

New Hampshire

ID documents
Mixed
Care
Mixed
Shield lawA state law that protects patients and providers of gender-affirming care from investigations, subpoenas, or extradition attempts by states that ban that care.
No

New Hampshire is mixed. Adults can change their name with a simple court petition (no newspaper publication in practice), and driver's licenses offer M, F, or X by self-attestation.

More about New Hampshire

Birth certificate sex changes still require a court order, and the process is left to judges. Since January 1, 2026, state law bans puberty blockers, hormones, and gender surgery for new patients under 18; care for adults is legal, and NH Medicaid and state-regulated insurance cover it. There is no shield law.

This state’s pages are drafts written from official sources and not yet checked by a person. What this means

Your documents, in order

Most people go in this order, because each office checks the one before it. On every document, updating your name and changing your gender marker are separate questions with separate answers.

  1. Legal name changeState court
    Name
    YesNewspaper notice sometimes, hearing sometimes
  2. Social SecurityFederal, same in every state
    Name
    YesAfter your legal name change
    Gender marker
    NoCannot be changed right now
  3. Driver's license / state IDNew Hampshire DMV
    Name
    YesAfter your legal name change
    Gender marker
    YesM, F, or X with your own signed form
  4. US passportFederal, same in every state
    Name
    YesAfter your legal name change
    Gender marker
    NoCannot be changed right now
  5. Birth certificateOnly if born in New Hampshire
    Name
    YesAfter your legal name change
    Gender marker
    LimitedM or F with a court order

Born somewhere other than New Hampshire? Your birth certificate follows the state where you were born. Choose your birth state

Gender-affirming care

Adults
Allowed
Under 18
Banned
Gender-affirming care is legal for adults in New Hampshire, and NH Medicaid and state-regulated private insurance cover it.Find clinics, health centers, telehealth, and ways to pay

Local help

Statewide organizations

  • GLAD Law, Transgender ID Project[6]

    Free help for people living in New England, including New Hampshire, updating their legal name and gender on state and federal documents. Self-help quick reference guides plus an online intake form for individual help.

    • Free
    617-426-1350

  • 603 Legal Aid[7]

    Statewide civil legal aid intake for people with low income in New Hampshire. Apply online or call 603-224-3333.

    • Free
    603-224-3333

  • 603 Equality[8]

    Statewide LGBTQIA+ advocacy organization that tracks New Hampshire legislation, runs the Trans Youth Emergency Project, and lists community resources.

    • Free

  • Trans Lifeline[9]

    Peer-support hotline run by and for trans people, 877-565-8860.

    • Free
    877-565-8860
Sources for this page (9)

Sources

9 sources. Numbers in the text, like [1], point here.

  1. RSA 263:5, Application for driver's licenseNew Hampshire General Court, Law. accessed
    “gender indicated by checking either "M" for "male," "F" for female," or "X" for "other"”
  2. RSA 5-C:87, Initiating amendments and corrections to birth recordsNew Hampshire General Court, Law. accessed
    “Upon receipt of a certified copy of a court order advising that such individual born in the state of New Hampshire has had a sex change, a new birth record shall be prepared to reflect such change.”
  3. RSA 332-N:2, Prohibitions for health care providers (HB 377, 2025)New Hampshire General Court, Law. accessed
  4. Identity document laws and policiesMovement Advancement Project, Organization. accessed
  5. Healthcare laws and policiesMovement Advancement Project, Organization. accessed
  6. Transgender ID ProjectGLAD Law, Organization. accessed
    “Free resources for transgender people living in New England (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, or Vermont)”
  7. 603 EqualityOrganization. accessed
  8. Trans LifelineOrganization. accessed