Changing your name can be a lengthy process, depending on the state, whereas others are more technologically advanced.
Before you begin, make sure to have a copy of your marriage license/certificate or divorce decree on hand to email, upload, or even mail, as documentation of the name change. Some states may also take a driver's license as an alternative type of documentation.
NOTE: The majority of states will NOT allow you to update your name during the renewal process.
State | Name Change |
|---|---|
ABGC | Fill out name change form - email to: Info@ABGC.net along with legal documentation of name change. |
Alabama | Email genetic@alstateboard.com a request for a name change with letter and documentation. Include either a driver’s license or marriage license for documentation. |
Arkansas | Submit a copy of the legal documentation and include a signed and dated request that indicates you wish to make a name change. Be sure to include your license number and your name that is currently on your license. Email to support@armedicalboard.org (Adobe PDF ONLY). |
California | Login to CA portal. Click on “Apply/Renew” under Genetic Counselor Licensure. Under Requests, select “Request Name Change". |
Connecticut | Fill out name change form - mail to: |
Delaware | Login to DE portal. Click on “Service Request” in blue banner. Click on “Apply for a New Service Request”. Follow steps. |
Florida | Login to FL portal. Under “Manage your license information”, select “Request Name Change” from the drop down options. Then click “Select”. Follow steps. |
Georgia | Must provide a signed letter requesting a name change and a legal document (marriage license, divorce decree, or legal name change order). Please notify the Board in writing by email or US Mail and include previous name, new name to be displayed, and contact information. Be sure to attach or include a copy of any required documentation. |
Idaho | Login to ID portal. Click on “More…” in the Menu. Scroll down to Name and Addresses and select “Change Name”. Follow steps from there. |
Illinois | Fill out name change form - mail to: |
Indiana | Login to IN portal. Under Menu, click on “Document Upload”. Follow the steps. |
Iowa | Send a signed letter documenting the previous name and now your current legal name along with a copy of your legal name change document(s). Mail to: Iowa Board of Medicine 400 SW 8th Street, Suite C Des Moines, IA 50309-4686 |
Kentucky | Name changes cannot be completed online and must be processed by the Board. Kentucky Board of Medical Licensure |
Louisiana | Go to the board's website, click "For the Practitioner" at the top of the page, then "Name Change" to download the name change form. Fill out the form and mail to: LSBME, Attn: Licensure Dept. 630 Camp Street New Orleans, LA 70130 NOTE: MUST send a copy of driver’s license in new name along with a photo copy of marriage license |
Maryland | Fill out name change form - mail to: Maryland Board of Physicians P.O. Box 37217 Baltimore, MD 21297 |
Massachusetts | Login to MA new portal. Click “Show Details" under Genetic Counselor License. Then click on "Start a GC License - Name & Address Change Application". Follow the steps. |
Michigan | Login to MI portal. Click on “Licenses” tab and then click “Modification” under Action. Select “License Holder Name Change”. Follow steps. |
Minnesota | Fill out name change form - mail to: Minnesota Board of Medical Practice 335 Randolph Avenue, Suite 140 St. Paul, MN 55102 |
Montana | Email DLIBSDHelp@mt.gov a request for a name change. Include either a driver’s license or marriage license for documentation. |
Nebraska | Fill out name change form - mail to: DHHS LICENSURE Unit PO Box 94986 ATTN: GENETIC COUNSELOR LICENSING Lincoln, Nebraska 68509 |
New Hampshire | Email customersupport@oplc.nh.gov a request for a name change. Include current and requested full name, license number, and profession. Attach a copy of the documentation affirming the name change (marriage certificate, divorce decree, or court order). |
New Jersey | Name changes must be reported to the Committee in writing. Please send a copy of the legal document to: New Jersey Office of the Attorney General PO Box 183 St Board Medical Examiners Genetic Counseling Comm. Trenton, New Jersey 08625 |
New Mexico | Login to NM portal. Click on “Requests” and select “Licensee Amendment”. Follow steps. |
North Dakota | You will need to submit a notarized copy of a legal document such as a marriage license or divorce decree showing your new legal name. Mail to board office: North Dakota Board of Medicine 4204 Boulder Ridge Rd, Ste 260 Ridge West Centre Bismarck, ND 58503-6162 |
Ohio | Login to OH portal. Sign in and click “Options” then select “Change Name”. Follow steps. |
Oklahoma | Login to OK portal. Sign in and click “Name Change Request”. Follow steps. |
Oregon | You need to update your address in writing either by mail or email. Health Licensing Office 1430 Tandem Ave. NE, Suite 180 Salem, OR 97301-2192 Email: hlo.info@dhsoha.state.or.us *MUST included documentation for name change (marriage license, etc.) AND front and back of driver’s license with new name |
Pennsylvania | Login to PA portal. Click on “Edit Your Information”. Then click “Change Name & Address”. Follow steps. Can also be updated during the renewal process. |
South Carolina | Coming soon |
South Dakota | Complete and submit the online Name & Address Change Form. Can also be updated during the renewal process. |
Tennessee | Login to TN portal. Sign in and under “Manage your license information”, select “Change of Name” from the drop down options. Then click “Select”. Follow the steps. |
Utah | Login to UT portal. Click on the three dots under “Action” then select “Name or Address Change Request”. |
Virginia | Fill out name change form - email form and name change documentation to: |
Washington | Mail, email, or fax a copy of your certified marriage certificate, divorce decree or court order showing your name change to the Customer Service Office. Email: hsqa.csc@doh.wa.gov Mail: WA Genetic Counseling Credentialing P.O. Box 47877 Olympia, WA 98504-7877 Will take 3-5 business days to update |
Wisconsin | Login to WI portal. Click on “Amendments” and select “Request for Amendment”. Follow steps. |
The information above is subject to change without notice.
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