Home
Forms Library
Address Change - Board of Podiatric Medicine - State of California

Address Change - Board of Podiatric Medicine - State of California 2025

Address Change - Board of Podiatric Medicine - State of California Preview on Page 1

Show details

4.5 out of 5

68 votes

The document is a notification form from the Medical Board of California for podiatrists to report changes in their mailing address. It requires personal information, including license number and both old and new addresses, and includes instructions for submitting the form along with a processing fee if requesting a replacement pocket license.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

The best way to edit Address Change - Board of Podiatric Medicine - State of California online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making changes to your documentation requires just a few simple clicks. Follow these quick steps to edit the PDF Address Change - Board of Podiatric Medicine - State of California online for free:

Sign up and log in to your account. Sign in to the editor with your credentials or click on Create free account to examine the tool’s functionality.
Add the Address Change - Board of Podiatric Medicine - State of California for editing. Click the New Document button above, then drag and drop the file to the upload area, import it from the cloud, or via a link.
Modify your template. Make any changes needed: add text and pictures to your Address Change - Board of Podiatric Medicine - State of California, highlight information that matters, erase parts of content and replace them with new ones, and add symbols, checkmarks, and fields for filling out.
Finish redacting the form. Save the modified document on your device, export it to the cloud, print it right from the editor, or share it with all the people involved.

Our editor is super easy to use and efficient. Try it out now!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

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 contact the California Medical Board?

Toll-Free: 800-633-2322. Phone: 916-263-2382.

How do I change my name on my Medi Cal?

If your information has changed, you can update it online at benefitscal.com, or by calling 1-866-613-3777 (TTY) 1-800-660-4026. This way, the county can contact you about your Medi-Cal.

What license is DPM?

A podiatrist is a Doctor of Podiatric Medicine (DPM), known also as a podiatric physician or surgeon, qualified by their education and training to diagnose and treat conditions affecting the foot, ankle and related structures of the leg. When treating patients, this system is also known as the lower extremity.

How do I change my address on my California Medical Board license?

You may change your address online through the BreEze system. Initial license applicants may contact their assigned reviewer to request an address/e-mail change. If you have any questions, please send an e-mail to webmaster@mbc.ca.gov or call (800) 633-2322.

How do I change my name on my Medical Board in California?

If you change your name after you have submitted an application or are licensed, you must submit a signed Notification of Name Change form , along with photocopy or electronic copy of a current government-issued photographic identification (e.g., drivers license, alien registration, passport, etc.)

How do I change my name with the PT Board of California?

NAME CHANGE: To notify PTBC of a name change, submit a Request for Name Change online prior to submitting your renewal. Once submitted, the Board will process your request within 14 days. Please allow PTBC six (6) weeks to process your renewal application and payment.

How do I change my name on Covered California?

To report changes, call Covered California at (800) 300-1506 or log in to your online account.

Address Change - Board of Podiatric Medicine - State of California 2025

Here's how it works