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If a patient must be moved from one family to another, you can go to the Family module and select the patient you wish to move. Then, click the Move to Other Fam button at the top of the Family Members List. You will be given the option to create a new family instead of moving the patient to a different family. You can either do this or continue on to select an existing family.
You can not move the guarantor to another family unless there are no other family members. Moving the guarantor into another family effectively combines two families. The account notes for the families will be combined, as will the address/phone notes.