Subject: Rhode Island Sample Letter for Termination of Physician's Care — Patient to Physician Dear [Physician's Name], I hope this letter finds you well. I am writing to formally terminate my care under your medical supervision as your patient. After careful consideration and discussions with my family and other healthcare providers, I have decided to seek medical care elsewhere. I want to express my deepest gratitude for the time and effort you have dedicated to my well-being. You have provided me with valuable medical advice and treatment, and I appreciate the attentive care you have given me throughout our professional relationship. However, I believe it is time for me to explore other medical options that align better with my current healthcare needs. This decision is not a reflection of your abilities as a physician, but rather a personal choice aimed at seeking a different approach to my ongoing medical concerns. I kindly request that you assist in facilitating the transfer of my medical records to my new healthcare provider or clinic. I understand this process may take some time, but I would greatly appreciate your cooperation in ensuring a seamless transition of my medical history. In addition, I would like to make arrangements for the pickup or transfer of any remaining prescriptions, test results, or medical devices that are currently in your possession. Please, let me know how we can coordinate this to avoid any disruptions in my healthcare. I understand the importance of continuing my ongoing medical treatment during this transition period. Therefore, I kindly request that you provide me with the necessary prescriptions and referrals to ensure uninterrupted access to medical care until I can establish myself with a new healthcare provider. Lastly, I kindly request that you inform me of any outstanding bills or pending insurance claims related to my medical care under your supervision. I would like to settle any financial obligations promptly to avoid any undue inconveniences. Thank you once again for your compassion, dedication, and professional care. I genuinely appreciate the medical expertise you have provided me during our time together. Please consider this letter as my formal notice of termination, effective immediately. Should you require any further information or have any questions, please do not hesitate to contact me at [your phone number] or [your email address]. Wishing you continued success in your medical practice. Sincerely, [Your Name] [Your Address] [City, State, ZIP] [Date] Keywords: Rhode Island, sample letter, termination of physician's care, patient to physician, medical records, medical treatment, prescriptions, referrals, medical devices, healthcare provider, professional relationship, medical advice, healthcare needs, remaining prescriptions, test results, pickup or transfer, insurance claims, outstanding bills, financial obligations, compassionate care, uninterrupted access.
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.