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Prepare for a change of provider

Jillian Foglesong Stabile, MD

Jillian Foglesong Stabile, MD, FAAFP, DABOM

Sipra Medical Reviewer

  • American Board of Family Medicine
  • American Board of Obesity Medicine
  • Wake Forest University School of Medicine

ReviewsPatient-facing health education

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FAAFP, DABOM · Medical reviewer of record · Updated September 14, 2026 · September 14, 2026

Prepare for a change of provider

Keep a checklist of records, contacts and unresolved questions during a care transition. A new clinician must decide whether to continue or change treatment.

Entries stay in this page and disappear when you clear or reload it. Downloads and printouts remain wherever you save them. Avoid names, birth dates, member IDs and other identifiers.

A worked example

Fictional example, not personal medical information

Current practice contact (optional)
Example practice (fictional)
Marked complete by you
Confirm the new practice accepts your care needs and coverage or payment arrangement.
Still to check
Ask how to transfer records through a secure channel.

The example shows the output format. Use your own verified information and take unresolved questions to the appropriate professional.

Run your own numbers in the tool above.

Using this tool

Turn your entries into a useful record

Keep a checklist of records, contacts and unresolved questions during a care transition. A new clinician must decide whether to continue or change treatment. Entries are assembled into a downloadable worksheet. Marking a check complete records your own action; it does not certify a medicine, pharmacy or document.
This worksheet organizes information for a conversation. It does not verify a prescription, choose treatment or assess safety.
Assign every handoff
Write down which office is responsible for records, pending results and refill questions. A transfer request alone does not confirm that the receiving practice has accepted each task.
Before you finish

Build a continuity snapshot

CheckWhat to capture
Current careMedication list, recent results and open follow-up items
Next practiceAppointment date, record-transfer method and evaluation requirements
Time-sensitive itemsWho handles pending results and refill questions before the visit
This page keeps entered details in browser memory. It does not email them or save them to your account. Clear or reload the page to remove the entries. Downloaded files and printouts remain under your control.
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Sources

  1. FDA medication list guidance www.fda.gov
This worksheet organizes information for a conversation. It does not verify a prescription, choose treatment or assess safety. Medical reviewer of record: Jillian Foglesong Stabile, MD, FAAFP, DABOM. Updated September 14, 2026. Sources checked September 14, 2026.
Compounded medications are not FDA-approved and require a patient-specific prescription. Brand names are trademarks of their owners; sipra is not affiliated with them.