The Notification to Change Primary Care Provider is a fax or letter template that clinics can use to help manage CPAR Conflicts. Clinics can send a fax or letter to providers or other clinics with conflicting paneling, requesting they remove a patient from their panel. This request is based on the clinic's confirmed attachment to the patient.
Clinics can download and customize the template as needed. For example, adding the clinic's official letterhead can help ensure the request is recognized as an official communication.
Clinics may integrate this document into their EMR system as a letter template or macro. This can allow automatic population of patient details and enables transmission via eFax.
The template was updated June 2025 in response to feedback from physicians and teams to improve clarity and usability.