Dear [Physician's Name], I hope this letter finds you well. I am writing to inform you of my decision to terminate our patient-physician relationship effective [date]. After careful consideration and discussions with my family, I have decided to explore alternative options for my healthcare needs. I want to express my gratitude for the care and attention you have provided me over the course of our relationship. Your expertise and dedication have been invaluable in managing my health concerns, and for that, I am truly thankful. However, I believe it is important for patients to have a choice when it comes to their healthcare providers, and I have decided to exercise that choice at this time. It is not a reflection of your skills, but rather a desire to seek out different approaches or perspectives. I would like to request my medical records be transferred to the healthcare provider I have chosen to continue my care. Please provide me with the necessary forms and instructions to facilitate this transfer. I understand that the Kansas state law requires physicians to provide patients with a copy of their medical records upon request, and I trust that you will adhere to this requirement. I also kindly request that you provide me with a final visit or consultation to discuss my ongoing healthcare needs, prescription renewals, and any recommended transition plans. This meeting will allow us to address any questions or concerns I may have before concluding our patient-physician relationship. I appreciate your understanding and cooperation in this matter. I would like to express my sincere gratitude once again for the level of care you have provided me throughout our association. Your professionalism and commitment to your patients are truly commendable. Thank you for your attention to this matter. I will look forward to receiving information about the medical records transfer and scheduling a final visit with you. I wish you continued success in your medical practice. Sincerely, [Your Name] [Your Contact Information] [Date] Keywords: Kansas, sample letter, termination, physician's care, patient, healthcare, medical records, alternative options, gratitude, choice, healthcare provider, transfer, forms, instructions, state law, final visit, consultation, ongoing healthcare needs, prescription renewals, transition plans, understanding, cooperation, professionalism, commitment.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.