Change of Doctor Form 2026

This Change of Doctor Form opens with a welcome screen explaining why accurate information matters, then walks through eight questions in a logical order: identity first, then the transition itself, and finally authorization. It collects your full legal name and date of birth to match you to the correct records, then asks for the names of your current and new doctors, an optional specialty field to help route your file accurately, and the effective date of the change. An optional question asks for your reason for switching, giving the practice useful context. The form closes with the "Do you authorize the transfer of your medical records to your new doctor?" question, a required yes-or-no step that ensures no records move without your explicit consent. After submitting, you see a confirmation screen letting you know your update has been received.