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OR STATE, AND TO CHANGE DOCTOR OR HOSPITAL

OR STATE, AND TO CHANGE DOCTOR OR HOSPITAL 2025

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The document is a notification form for employees intending to leave their locality or state and change their medical provider. It emphasizes the importance of contacting the insurance carrier before leaving, as costs may not be covered outside Utah. The form requires details about the employee, employer, and new physician, and must be submitted alongside Form 043 for processing.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I tell my doctor I want to switch doctors?

You can do this by phone, in person, by email, or through the patient portal. Its up to you whether you share the reason for leaving. You might not be sure if you want to switch doctors or not. Before making a change, consider talking to your current provider or the practice manager about your concerns.

How do I transfer to another doctor?

Tell Your Current GP By letting your current surgery know youre swapping, they can arrange the transfer of your medical records quickly, helping to make the move a lot smoother.

How do I transfer a prescription to another doctor?

Most healthcare providers require you to fill out a release of information form, which authorizes the transfer. Once your new doctor has received your medical records, they will review your history, including your current medications. This review helps them understand your health background and medication needs.

How do I move from one doctor to another?

How to Change Doctors: 5 Helpful Tips for a Smooth Move Schedule One Last Visit With Your Current Provider. Look for Your New Provider Before Leaving the Current One. Get Your Medical Records. Have Your First Visit with Your New Provider. Take Time After Your First Appointment to Reflect.

How do I leave a primary care doctor?

Yes, you had a relationship with your primary care physiciansand in many cases a deeply personal relationshipbut at the end of the day they understand that needs change. So simply ask for your medical records, inform the office staff that you will be switching primary care providers and thank them for their service.

Can you go to two different doctors at the same time?

If you see two different primary care providers, your health insurance provider may: Deny coverage for visits to the secondary doctor; Flag duplicate tests or prescriptions, leading to out-of-pocket costs; Create referral delays, making it harder to see specialists promptly.

How do I transfer to a new doctor?

Remind the front desk and the doctor and nurse that you are switching care from a previous doctor. Most offices will provide you with a release to sign that allows your old doctor to send your medical records to the new doctor. Make sure you bring the contact information for your old doctor.

OR STATE, AND TO CHANGE DOCTOR OR HOSPITAL 2025

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