This form is a sample letter in Word format covering the subject matter of the title of the form.
Dear [Physician's Name], I hope this letter finds you well. I am writing to inform you of my decision to terminate our physician-patient relationship effectively [date]. Over the course of our time working together, I have appreciated your dedication and expertise in providing medical care to me. However, after careful consideration, I have decided to explore alternative healthcare options that better align with my current needs and preferences. I would like to express my gratitude for the care and treatment you have provided me during our time together. Your professional approach and willingness to listen to my concerns have been commendable, and I recognize the effort you have put into maintaining my health. To ensure a smooth transition, I have already begun the process of securing a new healthcare provider who can address my specific requirements moving forward. I firmly believe that this change is necessary to receive the best possible care for my medical conditions. Please be aware that this decision is not due to any dissatisfaction with your services or lack of trust in your abilities. It is simply a personal choice I have made in pursuit of optimal medical care. I kindly request that you provide a copy of my medical records, including any test results or relevant documentation from our time together. These records are necessary for my new healthcare provider to get a comprehensive understanding of my medical history and continue my treatment effectively. Kindly inform me of the process to obtain these records and any associated fees, if applicable. Although our physician-patient relationship will cease, I would like to thank you once again for the care you have provided me. Your expertise and dedication have been invaluable, and I wish you all the best in your future endeavors. If you need any further information or require additional details, please do not hesitate to contact me at [phone number] or [email address]. I look forward to a smooth transition and appreciate your understanding in this matter. Thank you for your attention to this letter, and I wish you continued success in your medical practice. Sincerely, [Your Name] [Your Address] [City, State, ZIP] Keywords: Alaska, sample letter, termination, physician's care, patient, physician, healthcare, medical records, transition, healthcare provider, medical history.
Dear [Physician's Name], I hope this letter finds you well. I am writing to inform you of my decision to terminate our physician-patient relationship effectively [date]. Over the course of our time working together, I have appreciated your dedication and expertise in providing medical care to me. However, after careful consideration, I have decided to explore alternative healthcare options that better align with my current needs and preferences. I would like to express my gratitude for the care and treatment you have provided me during our time together. Your professional approach and willingness to listen to my concerns have been commendable, and I recognize the effort you have put into maintaining my health. To ensure a smooth transition, I have already begun the process of securing a new healthcare provider who can address my specific requirements moving forward. I firmly believe that this change is necessary to receive the best possible care for my medical conditions. Please be aware that this decision is not due to any dissatisfaction with your services or lack of trust in your abilities. It is simply a personal choice I have made in pursuit of optimal medical care. I kindly request that you provide a copy of my medical records, including any test results or relevant documentation from our time together. These records are necessary for my new healthcare provider to get a comprehensive understanding of my medical history and continue my treatment effectively. Kindly inform me of the process to obtain these records and any associated fees, if applicable. Although our physician-patient relationship will cease, I would like to thank you once again for the care you have provided me. Your expertise and dedication have been invaluable, and I wish you all the best in your future endeavors. If you need any further information or require additional details, please do not hesitate to contact me at [phone number] or [email address]. I look forward to a smooth transition and appreciate your understanding in this matter. Thank you for your attention to this letter, and I wish you continued success in your medical practice. Sincerely, [Your Name] [Your Address] [City, State, ZIP] Keywords: Alaska, sample letter, termination, physician's care, patient, physician, healthcare, medical records, transition, healthcare provider, medical history.