New Jersey Modelo de carta para la terminación de la atención del médico: médico a paciente - Sample Letter for Termination of Physician's Care - Physician to Patient

• Category: Cartas - No legales - Terminación
• State: Multi-State
• Control #: US-0236LR
• Format: Word

Description

Carta del médico al paciente que finaliza la atención del médico. Subject: Important Notification: Termination of Physician's Care — Physician to Patient [Physician's Name] [Physician's Address] [City, State, Zip Code] [Phone Number] [Email Address] [Date] [Patient's Name] [Patient's Address] [City, State, Zip Code] Dear [Patient's Name], I hope this letter finds you in good health and spirits. I am writing to inform you of an important decision regarding your medical care. After careful consideration and evaluation, I regret to inform you that our physician-patient relationship will be terminated, effective [termination date]. It is essential to emphasize that this decision was not made lightly and was arrived at after a thorough assessment of various factors, including medical necessity, professional judgment, and the best interests of both parties involved. Despite our efforts to provide you with optimal care, I believe it is in your best interest to transition your medical care to another healthcare provider. Reasons for this termination may vary, but they can include: 1. Relocation: If my practice is relocating outside a reasonable distance from your residence, it may necessitate transferring your medical care to a closer healthcare provider for the sake of convenience and accessibility. 2. Specialized Needs: If it is determined that your medical condition requires specialized care or specific expertise that falls outside my clinical practice or capabilities, it is crucial to refer you to a physician who can best address your needs effectively. 3. Noncompliance: Failure to follow prescribed treatment plans, medication adherence, or consistent attendance at scheduled appointments may undermine the effectiveness of your overall care. In such cases, it may be necessary to terminate the physician-patient relationship to ensure your health and safety. As your healthcare provider, I am committed to ensuring continuity of care during this transition period. To facilitate a smooth transfer, I will provide you with a summary of your medical records upon your written request or your new healthcare provider's request. Please understand that a reasonable fee may apply to cover administrative costs associated with the documentation and transfer process. Moreover, it is vital for you to promptly seek out and establish a new physician-patient relationship to guarantee uninterrupted medical care. I suggest initiating this process as soon as possible to avoid any gaps in healthcare delivery and to ensure your medical needs continue to be addressed appropriately. Below are the steps you should consider undertaking to ensure a seamless transfer of care: 1. Research and Selection: Begin researching and selecting a new primary care physician or specialist aligned with your specific medical needs and preferences. You may consider seeking recommendations from trusted friends, family members, or your insurance provider's directory. 2. Medical Records Transfer: After choosing a new healthcare provider, promptly request the transfer of your medical records to ensure they are well-informed about your medical history, allergies, diagnoses, and treatments. This will facilitate continuity of care and enable your new provider to tailor their approach to your unique healthcare needs. 3. Scheduling an Appointment: Once you have chosen a new healthcare provider, reach out to their office and schedule an appointment at your earliest convenience. It is vital to inform them of the termination of our physician-patient relationship to ensure they allocate sufficient time and resources for your initial visit. Please note that until you establish care with a new healthcare provider, I urge you to seek immediate medical attention from the nearest emergency department or urgent care center if you require urgent medical assistance. I genuinely appreciate the trust you have placed in me as your physician, and I sincerely hope that this transition will not cause you any inconvenience. Should you have any questions or require assistance during the process, please do not hesitate to contact my office. It has been a privilege to provide you with healthcare services, and I wish you the very best in your future medical care. Sincerely, [Physician's Name] [Physician's Credentials] [Physician's Signature] [Date]

Subject: Important Notification: Termination of Physician's Care — Physician to Patient [Physician's Name] [Physician's Address] [City, State, Zip Code] [Phone Number] [Email Address] [Date] [Patient's Name] [Patient's Address] [City, State, Zip Code] Dear [Patient's Name], I hope this letter finds you in good health and spirits. I am writing to inform you of an important decision regarding your medical care. After careful consideration and evaluation, I regret to inform you that our physician-patient relationship will be terminated, effective [termination date]. It is essential to emphasize that this decision was not made lightly and was arrived at after a thorough assessment of various factors, including medical necessity, professional judgment, and the best interests of both parties involved. Despite our efforts to provide you with optimal care, I believe it is in your best interest to transition your medical care to another healthcare provider. Reasons for this termination may vary, but they can include: 1. Relocation: If my practice is relocating outside a reasonable distance from your residence, it may necessitate transferring your medical care to a closer healthcare provider for the sake of convenience and accessibility. 2. Specialized Needs: If it is determined that your medical condition requires specialized care or specific expertise that falls outside my clinical practice or capabilities, it is crucial to refer you to a physician who can best address your needs effectively. 3. Noncompliance: Failure to follow prescribed treatment plans, medication adherence, or consistent attendance at scheduled appointments may undermine the effectiveness of your overall care. In such cases, it may be necessary to terminate the physician-patient relationship to ensure your health and safety. As your healthcare provider, I am committed to ensuring continuity of care during this transition period. To facilitate a smooth transfer, I will provide you with a summary of your medical records upon your written request or your new healthcare provider's request. Please understand that a reasonable fee may apply to cover administrative costs associated with the documentation and transfer process. Moreover, it is vital for you to promptly seek out and establish a new physician-patient relationship to guarantee uninterrupted medical care. I suggest initiating this process as soon as possible to avoid any gaps in healthcare delivery and to ensure your medical needs continue to be addressed appropriately. Below are the steps you should consider undertaking to ensure a seamless transfer of care: 1. Research and Selection: Begin researching and selecting a new primary care physician or specialist aligned with your specific medical needs and preferences. You may consider seeking recommendations from trusted friends, family members, or your insurance provider's directory. 2. Medical Records Transfer: After choosing a new healthcare provider, promptly request the transfer of your medical records to ensure they are well-informed about your medical history, allergies, diagnoses, and treatments. This will facilitate continuity of care and enable your new provider to tailor their approach to your unique healthcare needs. 3. Scheduling an Appointment: Once you have chosen a new healthcare provider, reach out to their office and schedule an appointment at your earliest convenience. It is vital to inform them of the termination of our physician-patient relationship to ensure they allocate sufficient time and resources for your initial visit. Please note that until you establish care with a new healthcare provider, I urge you to seek immediate medical attention from the nearest emergency department or urgent care center if you require urgent medical assistance. I genuinely appreciate the trust you have placed in me as your physician, and I sincerely hope that this transition will not cause you any inconvenience. Should you have any questions or require assistance during the process, please do not hesitate to contact my office. It has been a privilege to provide you with healthcare services, and I wish you the very best in your future medical care. Sincerely, [Physician's Name] [Physician's Credentials] [Physician's Signature] [Date]

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.