Title: Termination of Physician's Care Letter — Allegheny, Pennsylvania Keywords: Allegheny, Pennsylvania, termination, physician's care, sample letter, patient. Sample Letter for Termination of Physician's Care — Physician to Patient Date: [Insert date] [Patient's Name] [Patient's Address] [City, State ZIP Code] Dear [Patient's Name], I hope this letter finds you in good health. I am writing to inform you that, regrettably, I will no longer be able to provide medical care as your primary physician. This decision has been made after careful consideration, following discussions with my medical team and based on your specific health needs. As a physician, it is my utmost responsibility to ensure that you receive the highest quality of care. However, due to unforeseen circumstances, changes in my practice, or due to a mutual decision between you and me, it is necessary to terminate our physician-patient relationship. While I understand the importance of continuity of care, I want to assure you that I have taken appropriate measures to ensure a smooth transition of your healthcare needs to another qualified healthcare professional. I have personally identified several reputable physicians in the Allegheny, Pennsylvania area who possess the expertise and resources to meet your medical requirements effectively. [List the details of alternative physicians or healthcare providers] 1. Name: Specialty: Contact Information: 2. Name: Specialty: Contact Information: It is crucial that you promptly arrange an appointment with one of the suggested physicians to continue your care uninterruptedly. To facilitate the transfer of your medical records, I have authorized the release of your complete medical history to the new physician upon their request. Kindly inform the chosen physician of your preference related to the transfer of medical records. Please be aware that after [insert a reasonable duration, e.g., 30 days] from the date of this letter, I will no longer be able to provide medical care or respond to any medical inquiries. Therefore, it is essential to schedule an appointment with a new physician within that time frame to ensure your continued well-being. I apologize for any inconvenience resulting from this termination of care. It is important to note that this decision has been made after careful consideration of what is in your best interest. I truly appreciate the opportunity I had to be your physician and assist you with your healthcare needs. If you have any questions or require further assistance during this transition, please feel free to contact my office at [Phone Number] between [Office Hours] or refer to the contact details provided for the recommended physicians. Wishing you good health and a smooth transition to your new physician. Sincerely, [Your Name] [Your Title] [Your Contact Information]
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.