Subject: Termination of Physician's Care — Physician to Patient [Fulton, Georgia] Dear [Patient's Name], I hope this letter finds you in good health and spirits. I am writing to inform you that after careful consideration, I have made the difficult decision to terminate our physician-patient relationship effective from [termination date], as outlined in this letter. Please note that this decision has been made in the best interests of both parties involved. [Fulton, Georgia] Sample Letter for Termination of Physician's Care — Physician to Patient can be categorized into various types based on the reasons for termination. Here are some common scenarios: 1. Mutual Agreement Termination: In certain cases, the termination of our physician-patient relationship may be based on mutual agreement. This decision usually arises when it is mutually decided that an alternative healthcare provider would be more suitable for your medical needs. We believe that such a transition would enhance your overall medical care, and we are ready to assist you in any way possible during this transition period. 2. Non-Compliance Termination: If a patient demonstrates persistent non-compliance with the agreed-upon treatment plan, fail to attend scheduled appointments, or repeatedly ignore medical recommendations, it may lead to the termination of our physician-patient relationship. It is crucial for patients to actively participate in their treatment plan to achieve the desired healthcare outcomes. 3. Professional Judgment Termination: As healthcare providers, our primary responsibility is to provide appropriate medical care to our patients. In certain situations, if I determine that I am unable to effectively meet your medical needs or if there is a substantial disagreement on treatment approaches, it may lead to the termination of our physician-patient relationship. Please understand that this decision is based solely on professional judgment and the patient's overall well-being. Please note that this termination does not indicate any wrongdoing on your part. It is a necessary step to ensure that you receive the most appropriate care from a healthcare provider who can better address your specific needs. To assist you during this transition, I am available to provide a copy of your medical records upon your written request. You may choose to transfer your care to another physician. If you need assistance locating a suitable healthcare provider in the Fulton, Georgia area, I would be more than happy to help facilitate the process. If you have any concerns or questions regarding this termination, including the transfer of medical records or finding alternative healthcare providers, please do not hesitate to contact our office at [phone number] or via email at [email address]. Our staff will be available to address your queries promptly. Thank you for allowing me the privilege of being your healthcare provider. I trust that you will find a suitable physician who will meet your medical requirements effectively. Wishing you good health and a prosperous future. Sincerely, [Physician's Name] [Physician's Title] [Medical Practice Name] [Medical Practice Address] [City, State, ZIP] [Phone Number] [Email Address]
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.