Practice Change Sample Forms

Retiring, selling a practice, and/or joining a new practice can be complicated and time-consuming. There are a great many details involved in making a practice change that can be overlooked. Here are a few downloadable letters and checklists to guide you in the midst of your transitioning practice.

NOTICE: Please check the Texas Medical Board Web site ( ) for current updates on its rules and policies with respect to these issues.  

If you experience problems printing the PDF files, select the Print As Image option in the Acrobat viewer's Print dialog box (this usually increases printing time).  

  • Clause for Transfer and Custody of Medical Records Webpage  Word  PDF
  • Letter for Physician Discontinuing Practice  Webpage  Word  PDF
  • Retirement or Sale of Practice Checklist  Webpage  Word  PDF  
  • Authorization to Release Medical Records  Webpage  Word  PDF  

Last Updated On

June 23, 2016

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Sample Letters | TSBME