PDF
Word
Form 102 Application to Change Doctors - Utah
What Is Form 102?
This is a legal form that was released by the Utah Labor Commission - a government authority operating within Utah. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 102?
A: Form 102 is an application to change doctors in Utah.
Q: Who can use Form 102?
A: Any individual in Utah who wants to change their doctor can use Form 102.
Q: What information is required on Form 102?
A: Form 102 requires basic personal information, current doctor's name, new doctor's name, and reasons for changing doctors.
Q: Is there a fee for submitting Form 102?
A: No, there is no fee for submitting Form 102.
Q: How long does it take to process Form 102?
A: The processing time for Form 102 varies, but it typically takes a few weeks.
Q: Can I change doctors multiple times using Form 102?
A: Yes, you can use Form 102 to change doctors multiple times if needed.
Q: Do I need to notify my current doctor when using Form 102?
A: It is recommended to notify your current doctor when submitting Form 102 to facilitate the transfer of medical records.
Q: Can I use Form 102 to change doctors outside of Utah?
A: No, Form 102 is specific to changing doctors within Utah only.
Q: Are there any special requirements for submitting Form 102?
A: No, there are no special requirements for submitting Form 102. It is a straightforward application.
Form Details:
- Released on October 1, 2019;
- The latest edition provided by the Utah Labor Commission;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 102 by clicking the link below or browse more documents and templates provided by the Utah Labor Commission.
