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That is really unfortunate that your doctor can't get it right. I'd suggest that you talk to him and consider switching doctors if he is not accomodating. Chubbs' pediatrician had noted his file once I got permission to call him his new name and even though everything was still in his legal name, they referred to him by his new name. I was pretty impressed with that.
Our medicaid was all switched over by the subsidy person. Since we had some last minute subsidy issues, it did take about a month after finalization. I am sure it varies by state. For example, it took I believe 3 months to get his new birth certificate because our county has only one group that processes all BC and death certificates for the entire state.
And as for calling the previous foster mom after all this time, I go back to paragraph one, if they can't accomodate, consider changing peds, if that is possible.