Dismissal Letter For Dental Patients

State:
Multi-State
Control #:
US-0058LTR
Format:
Word; 
Rich Text
Instant download

Description dental patient dismissal letter

This form is a sample letter in Word format covering the subject matter of the title of the form.
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dental patient dismissal letter template Other Form Names

dental office dismissal letter template   dismissal letter from dental office   dismissal letter dental office   letter of dismissal from dental practice   dismissal letter from dental practice   ada patient dismissal letter   dental office patient dismissal letter  

dismissing a patient from a dental practice letter FAQ

Which of the following is legally necessary to withdraw a patient from a dental practice? Notice of termination must be in writing, Care must continue 30 days beyond date of termination and The reason for withdrawing should be given.

Dear (Patient), We have contacted you on several occasions with monthly statements, telephone messages and a personal letter concerning your outstanding balance with our practice. We have determined that due to your noncompliance with our practices' financial policy we must terminate our dentist-patient relationship.

The dentist has the right to dismiss a patient in situations where it is impossible to resolve differences or if the dentist cannot abide the patient's behavior within the practice, as long as the dismissal is not for a legally impermissible discriminatory reason.

This letter is to advise you that I will no longer be available to provide medical services to you after (FUTURE DATE ALLOWING PATIENT REASONABLE TIME TO FIND ANOTHER PHYSICIAN). I will be available to treat you until (DATE FROM ABOVE), so that you will have access to care while you choose another physician.

The letter should clearly state the date upon which the termination will become effective, and it should commit the provider to helping the patient through the transition period by offering to provide emergency care only for a specified time, e.g., 30 days.

More info

13-Jun-2022 — Your dismissal letter should give the patient some notice to allow them to find a new dentist to provide the care they need. All of us at (insert practice name) wish you the well and hope that you continue to schedule regular preventive dental visits. Signature,.Handle every patient dismissal cordially and professionally. It should never become personal. Dear. (patient):. This letter is to inform you that I am withdrawing from further professional responsibility regarding your dental care. 04-Jul-2018 — Dismissal Letter; Unable To Attain Doctor-Patient Relationship. Therefore, this letter is being sent to inform you that we must end our dentist- patient relationship with you. Therefore, this letter is being sent to inform you that we must end our dentist- patient relationship with you. It has become clear that our patient-dentist relationship has broken down. Any dental procedures started must be finished before dismissing the patient.

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Dismissal Letter For Dental Patients