23.3. If the applicant has already obtained a change of the designation of sex that appears in his or her act of birth, the application, in addition to the documents referred to in sections 4 and 23.2, must also be accompanied by a letter from a physician, a psychologist, a psychiatrist, a sexologist or a social worker authorized to practise in Canada or in the State in which the applicant is domiciled who declares having evaluated or followed the applicant and is of the opinion that the change of the designation is appropriate, having regard to the affidavit made by the applicant in support of the initial application.
O.C. 781-2015, s. 1; S.Q. 2016, c. 19, s. 20.