Dear [Patient's Name], I hope this letter finds you well. I am writing to inform you of an important decision regarding your medical care. After careful consideration, I have made the difficult decision to terminate our physician-patient relationship, effective [termination date]. It is essential to note that this decision was not made lightly. Over the course of our professional relationship, we have worked together to address your healthcare needs and concerns. Our goal has always been to provide you with the highest quality of care and support, enabling you to lead a healthy life. However, certain circumstances have arisen that have led me to believe that it would be in your best interest to seek care from another healthcare provider. There are several reasons behind this decision. Firstly, [explain the specific reasons or concerns]. Despite our efforts to address these concerns, it has become apparent that continued care under my supervision may not be optimum for your well-being. While it is regrettable, I am confident that another physician will be better suited to meet your needs and provide the level of care you deserve. I understand that the termination of our physician-patient relationship may raise questions or concerns. Please be assured that I am committed to ensuring a smooth transition of care. I am more than willing to assist in transferring your medical records to your new healthcare provider. If you require recommendations or referrals for finding an alternative physician, I would be glad to provide you with some options. It is crucial to prioritize your health and well-being above all else. Therefore, I kindly request that you schedule an appointment with a new physician at your earliest convenience. It is important not to interrupt your medical care, and by establishing a relationship with another healthcare provider, you will continue to receive the necessary attention and support for your health needs. Please note that until the specified termination date, I will continue to provide you with medical care to the best of my ability. However, after that date, I will no longer be able to serve as your primary physician, and it is imperative that you transition to a new healthcare provider promptly. If you have any questions or concerns, please do not hesitate to contact my office. I will be more than happy to discuss this further with you and address any lingering doubts or queries. Thank you for allowing me to be a part of your healthcare journey thus far. I wish you all the best and hope that you find a new healthcare provider who fulfills your needs and provides the care you deserve. Sincerely, [Physician's Name] [Physician's Contact Information] Different types of Kings New York sample letter for termination of physician's care — physician to patient may include variations based on specific reasons for termination, such as non-compliance with treatment plans, patient misconduct, lack of progress in treatment, or physician retiring or relocating.
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.