[Your Name] [Your Title] [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 high spirits. I am writing to inform you about a decision that has been made by [Medical Practice/Organization Name] regarding the termination of your physician's care. Please note that this decision has been made through careful consideration and evaluation of your medical needs and our ability to provide adequate care. Effective [Termination Date], we regret to inform you that we will no longer be able to continue providing medical care to you as a patient at [Medical Practice/Organization Name]. This decision is not taken lightly and is the result of various factors that have been taken into account, including: 1. [Medical Reason]: Provide a brief explanation if the termination is due to a medical reason that hinders the physician's ability to treat the patient effectively. 2. [Noncompliance]: Indicate instances of noncompliance with the prescribed treatment plan or failure to follow medical advice, which may hinder the patient's progress or jeopardize their health. 3. [Behavioral Issues]: Explain situations where the patient's behavior has been disruptive or disrespectful towards the medical staff or other patients, causing a hostile environment. 4. [Missed Appointments]: Detail persistent or excessive missed appointments without proper notice, which impedes the continuity of care and disregards the value of the physician's time and expertise. Please note that it is essential for each patient to have a strong and productive physician-patient relationship built on trust, respect, and open communication. Although we value all our patients and strive to provide the best care possible, there are instances where it becomes necessary to make difficult decisions in the best interest of both the patient and the practice. We understand that transitioning to a new healthcare provider may be challenging, and we are committed to assisting you during this process. We are more than happy to provide you with a copy of your medical records for continuity of care purposes. Please contact our office at [Phone Number] to request the necessary paperwork and discuss the most convenient way to transfer your medical records. In closing, we sincerely regret any inconvenience this may cause you and wish you all the best in your future healthcare journey. We believe that finding a healthcare provider who meets your specific needs will result in the best possible outcomes for your health and well-being. If you have any questions or require further assistance, please do not hesitate to contact our office. We are here to support you during this transition. Thank you for your understanding. Sincerely, [Your Name] [Your Title] [Medical Practice/Organization Name] Keywords: Oakland Michigan, sample letter, termination, physician's care, physician to patient, medical practice, medical organization, medical records, healthcare provider, physician-patient relationship, noncompliance, missed appointments, behavioral issues, continuity of care, respectful communication.
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.