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HIPAA AUTHORIZATION to RELEASE MEDICAL RECORDS (FROM Children's) Patient InformationPlease PRINT and fill out entirely. Facility Use Outpatient Name: / / Last First Middle (any previous name) Date

How to fill out any previous name

How to fill out any previous name

1. Start by gathering all the necessary documents such as identification, proof of name change (e.g. marriage certificate, court order), and any other relevant paperwork.
2. Visit the official government website or office that handles name changes in your jurisdiction.
3. Fill out the provided forms with accurate and complete information. Make sure to include your previous name in the appropriate section.
4. Attach the required documents as specified by the instructions. This may include copies or originals, depending on the requirements.
5. Pay any applicable fees associated with the name change process.
6. Submit the completed forms and supporting documents to the designated authority.
7. Keep a copy of the submitted documents and any receipts or confirmation numbers for future reference.
8. Follow up with the relevant authority to confirm the status of your name change request.
9. Once your name change is approved, update all your official records, identification documents, and inform relevant parties about the change.
10. Ensure that all future dealings and communications reflect your new name.
11. Keep a record of the name change process and any important documents related to it for future reference.

Who needs any previous name?

1. Anyone who has legally changed their name due to marriage, divorce, adoption, or personal preference may require the use of any previous name. This could be necessary for updating legal documents, identification records, bank accounts, employment records, and other official records. Additionally, individuals who have changed their name may need to provide their previous name for background checks, credit checks, or government-related applications.

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What is any previous name?

Any previous name refers to any legal name or names that an individual or entity has used in the past before adopting their current name.

Who is required to file any previous name?

Individuals and entities that have changed their name legally or have used a previous name in legal documents may be required to file any previous name.

How to fill out any previous name?

To fill out any previous name, one must provide the legal name(s) previously used, along with the dates during which those names were in use.

What is the purpose of any previous name?

The purpose of reporting any previous name is to ensure the correct identification of individuals or entities, assist in legal documentation, and prevent fraud.

What information must be reported on any previous name?

The information that must be reported includes the previous name, the date the name was changed, and any relevant documentation supporting the name change.