They can go to hell.
Well...what they didn’t say...was if the health provider who signs this paperwork...can be a veterinarian or some Mexican doctor named Juan who really isn’t a real doctor.
What I’d like to suggest here....is for one of you FREEPERs from Mass...to get a bogus Mexican doctor to sign the paperwork, and then you show up at the Mass drivers license bureau....in a fake wig and bad dress...with five days of beard on you....and just hand over the paperwork to see if they readily accept your transformation. If so....it means that we can all do this and claim trans-gender status.
THEY WILL.