Colorado residents now can change their gender identity on their birth certificate.

KMGH-TV reports the Colorado Department of Public Health and Environment on Wednesday voted to simplify the process to change the gender identity.

Under current requirements, a person must undergo gender reassignment surgery and prove it to a judge in order to qualify for the change to their birth certificate.

Under new rules, those wishing to change their identity would simply need to fill out a form – no surgery required.

Minors also will need a note from either a doctor or a mental health professional supporting the transition.

Those who want to change their gender identity can only do so once without a court order.

The board also voted to allow more identifying options for birth certificates. There will now be four options: male, female, X and intersex.