Sample Letter for Termination of Physician's Care — Patient to Physician [Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Physician's Name] [Physician's Clinic/Hospital] [Address] [City, State, ZIP] Dear Dr. [Physician's Last Name], I hope this letter finds you well. I am writing to inform you of my decision to terminate our physician-patient relationship effective immediately. After careful consideration and discussion with my family, I have decided to seek medical care from another healthcare provider. While I appreciate the care and attention you have provided me during my time as your patient, I believe it is in my best interest to explore alternative options for my healthcare needs. Unfortunately, this means that I will no longer require your services as my primary care physician. The decision to switch physicians was not made lightly, and it is not a reflection of the quality of care I have received from you. I simply feel compelled to explore other medical professionals who may offer different perspectives or specialized expertise that align better with my current healthcare needs. I am confident that you will understand and respect my decision. Furthermore, I have no doubts about your competence and dedication to providing exceptional care to your patients. However, it is essential for me to exercise my right to choose the healthcare provider that best suits my preferences and requirements at this time. Please be aware that I do not anticipate any issues or complications in my transition to a new physician. I will make sure to request the necessary medical records and liaise with my new healthcare provider to ensure continuity of care. I would like to express my gratitude for the care and support you have provided me over the course of our professional relationship. Furthermore, I genuinely appreciate your guidance, treatments, and advice throughout this period. If there are any outstanding medical bills or administrative matters that need to be resolved, please let me know, and I will gladly assist in settling them promptly. Again, I want to emphasize that this decision was not easy for me, and it is in no way a reflection of your capabilities as a physician. I sincerely hope that we can part ways amicably, and I wish you continued success in your medical practice. Thank you for your understanding. Yours sincerely, [Your Name] Keywords: Harris Texas, sample letter, termination, physician's care, patient to physician, healthcare provider, alternative options, medical professionals, primary care physician, medical records, continuity of care, medical bills, administrative matters, professional relationship, capabilities as a physician, amicably.
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.