Medical Affidavit Form For Name Change

State:
Mississippi
Control #:
MS-62762
Format:
Word; 
Rich Text
Instant download

Description

The Medical Affidavit Form for Name Change is a legal document used to verify medical information in situations involving a name change. This form serves as a declaration from a qualified medical professional, who attests to the accuracy of the medical records provided and affirms their authority based on personal examination of the individual involved. Key features of the form include sections for detailed medical records, a sworn statement by the physician, and notarization to validate the document. To fill out the form, users must ensure all sections are completed with accurate information, including patient details and examination results. It is essential for the physician to sign and date the form and for a notary public to witness the signature. This form is especially useful for attorneys, paralegals, and legal assistants when representing clients in name change petitions that involve medical considerations. It provides the necessary legal backing and verification of identity changes related to gender transition or other medical reasons, assisting in seamless processing of legal documents.
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FAQ

You can contact an attorney who can file an action in court. A court can order DNA testing and legally establish your paternity of the child. You can add your name to the Putative Father Registry by filing a Notice of Intent to Claim Paternity with the Bureau of Vital Records.

Make an affidavit and this affidavit must include details such as the old name, proposed new name, the reason for name change (marriage, legal, numerology, etc) and address. Print an affidavit on a stamp paper and get it duly signed by two witnesses. Visit notary to notarize the affidavit.

Name Change Affidavit Format Sample That my name as per the records is ?????-(XYZ). 2. That I have changed my name as _________ on (date of change of name). 3.At present all the records have my new name _________.

Sample Format of an Affidavit for Name Change of Minor That I am the natural guardian of the minor child, [Minor's Old Name], born on [Date of Birth] at [Place of Birth]. That for reasons of [State Reason], it is necessary to change the name of the minor from [Minor's Old Name] to [Minor's New Name].

Is an Affidavit Enough for a Legal Name Change? Getting your change of name published in the official gazette is optional. You should still consider moving forward with it to be on the safer side. But everyone must notarize an affidavit and publish advertisements in the newspapers for a legal name change.

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Medical Affidavit Form For Name Change