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Patient Identity Change Request

Parkview Health patients can request Patient Identity Changes such as legal name, date of birth, legal sex, and/or social security number with legal identification (required) such as a Driver License or state issued ID, passport or government ID, birth certificate, social security card, or legal/court document.  An insurance card is not a form of legal ID.


Send a secure email if possible as email transactions are not encrypted and may be viewed by a third party.

Identity Change Request should include:

  • Parkview medical record number (if known)
  • Patient name
  • Date of birth
  • Legal sex
  • Social security number
  • Address
  • Phone number
  • Photo(s) of legal identification

Included items should be sent to  

Please allow five business days for a response of completion.

Visit a Parkview Health location

Come into any Parkview Health facility (hospital, physician office or walk-in clinic) with legal identification to request an update be made to your patient identity on your Parkview Medical Record.

Identity Theft

If you believe you are a victim of identity theft, you should do the following:

  • Report any suspected identity theft to law enforcement.
  • Complete an affidavit of identity theft. An example of an eligible affidavit is IRS Form 14039, Identity Theft Affidavit.
  • Contact the Parkview Compliance Hotline at 260-373-5121 or 855-773-0012.