Houston Texas Modelo de carta para la terminación de la atención del médico - Paciente a médico - Sample Letter for Termination of Physician's Care - Patient to Physician

• Category: Cartas - No legales - Terminación
• State: Multi-State
• City: Houston
• Control #: US-0237LR
• Format: Word

Description

Carta del paciente al médico dando por terminada la atención del médico. Subject: 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] [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 patient-physician relationship effective immediately. While this decision was not made lightly, I believe it is in my best interest to seek alternative medical care for my ongoing healthcare needs. Firstly, I would like to express my gratitude for the medical care and attention you have provided me over the course of our association. Your expertise, professionalism, and commitment to my well-being have been greatly appreciated. However, due to a change in personal circumstances, healthcare preferences, or any other valid reason, I have decided that it is necessary to explore other options for my ongoing medical care. After careful consideration, I have selected a new healthcare provider who aligns more closely with my current needs and expectations. It is important for me to find a physician who specializes in [specify desired specialization or healthcare expertise] to address my specific medical condition(s). While I have the utmost respect for your abilities, I believe that transitioning to a new healthcare provider will enable me to receive the specialized care and treatment required in a more focused and tailored manner. Having made this decision, I kindly request the following from you: 1. Provide a copy of my medical records to be forwarded to my new healthcare provider. Please ensure that this process is carried out promptly, taking into account any restrictions or regulations regarding the transfer of patient records. 2. If there are any pending or future appointments scheduled, please cancel them accordingly. I will coordinate with your office to collect any personal items such as medical devices, test results, or prescription medications, if necessary. 3. As per guidelines and ethical standards, please discontinue any ongoing prescription refills or orders relating to my healthcare. I will promptly notify my new healthcare provider to ensure continuity of necessary medications. I genuinely appreciate the quality of care and attention you have provided throughout our association, making a significant impact on my health journey. Your professionalism, bedside manner, and medical expertise have contributed to a positive patient experience, and I will always be grateful for your contributions. Please acknowledge my request for termination of our patient-physician relationship in writing. If you have any further instructions or require any additional information from me, please let me know, and I will gladly oblige. Thank you for your understanding and cooperation in this matter. I wish you continued success in your medical practice, and I am confident that you will continue providing outstanding care to your patients. Sincerely, [Your Name]

Subject: 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] [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 patient-physician relationship effective immediately. While this decision was not made lightly, I believe it is in my best interest to seek alternative medical care for my ongoing healthcare needs. Firstly, I would like to express my gratitude for the medical care and attention you have provided me over the course of our association. Your expertise, professionalism, and commitment to my well-being have been greatly appreciated. However, due to a change in personal circumstances, healthcare preferences, or any other valid reason, I have decided that it is necessary to explore other options for my ongoing medical care. After careful consideration, I have selected a new healthcare provider who aligns more closely with my current needs and expectations. It is important for me to find a physician who specializes in [specify desired specialization or healthcare expertise] to address my specific medical condition(s). While I have the utmost respect for your abilities, I believe that transitioning to a new healthcare provider will enable me to receive the specialized care and treatment required in a more focused and tailored manner. Having made this decision, I kindly request the following from you: 1. Provide a copy of my medical records to be forwarded to my new healthcare provider. Please ensure that this process is carried out promptly, taking into account any restrictions or regulations regarding the transfer of patient records. 2. If there are any pending or future appointments scheduled, please cancel them accordingly. I will coordinate with your office to collect any personal items such as medical devices, test results, or prescription medications, if necessary. 3. As per guidelines and ethical standards, please discontinue any ongoing prescription refills or orders relating to my healthcare. I will promptly notify my new healthcare provider to ensure continuity of necessary medications. I genuinely appreciate the quality of care and attention you have provided throughout our association, making a significant impact on my health journey. Your professionalism, bedside manner, and medical expertise have contributed to a positive patient experience, and I will always be grateful for your contributions. Please acknowledge my request for termination of our patient-physician relationship in writing. If you have any further instructions or require any additional information from me, please let me know, and I will gladly oblige. Thank you for your understanding and cooperation in this matter. I wish you continued success in your medical practice, and I am confident that you will continue providing outstanding care to your patients. Sincerely, [Your Name]

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.