Name Changes

If you undergo a name change, you'll want to ensure that both your Nourish systems and clinical documents are updated to reflect your current legal name.

Please edit the following template and send your name change request to onboarding@usenourish.com.

My previous legal name is:

My current legal name is:

Please change my name in the following systems:

[] Nourish Provider Portal (including my unique referral URL)

[]Nourish Gmail

[] Healthie

[] Justworks (for tax purposes)

Please note that your new Gmail will be created as an alias, so both your new and prior Gmail will remain active to receive and send email from.

To update your name in Slack, click your profile picture thumbnail at the bottom of the left side banner. Select Profile, and in the pop-up that appears on the right side, click Edit next to your name to edit your Full Name and Display Name.

Please ensure that the following clinical documents are updated to reflect your current legal name. Please do this as quickly as possible, as name discrepancies across clinical documents can delay credentialing and re-credentialing timelines.

• NPI (Instructions here)

• State Licensure(s) (Process will vary by state; contact state licensure department(s) for instructions)

• CDR (Instructions here)

• CAQH (Within the Personal Information section, update your current legal name as Name and list your previous legal name as an Other Name(s))

To change your Zoom URL, you can customize your personal link:

1. Go to the Zoom web portal and sign in

2. Click Profile in the left sidebar menu

3. Scroll down to Personal Link

4. Click Customize on the right side of the page

5. Enter your desired personal link name in the text box

6. Click Save Changes