[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Physician's Name] [Physician's Address] [City, State, ZIP Code] Subject: Notice of Termination of Physician's Care Dear Dr. [Physician's Last Name], I hope this letter finds you well. After careful consideration, I have decided to terminate our physician-patient relationship effective immediately. This decision is not made lightly, but I believe it is in my best interest to seek alternative medical care. As a responsible patient, I understand the importance of open communication and the need to provide you with a detailed explanation for my decision. The reasons for terminating our relationship include: 1. Inadequate Communication: Despite my attempts to engage in meaningful dialogue regarding my healthcare questions and concerns, I have experienced a lack of timely and effective communication. Prompt and thorough communication is essential to foster trust and maintain a strong patient-physician relationship. 2. Quality of Care Concerns: I have noticed a decline in the quality of care provided during my previous visits. Effective healthcare relies on accurate diagnoses, appropriate treatment plans, and timely interventions. I have experienced instances where my health concerns have been dismissed or inadequately addressed. 3. Availability and Accessibility: It has become increasingly difficult to secure timely appointments, reach your office for urgent matters, or receive prompt responses to my inquiries. In order to ensure optimal healthcare outcomes, it is essential to have access to a healthcare provider who is readily available and responsive. 4. Personal Incompatibilities: Our patient-physician relationship requires mutual trust and a compatible working relationship. Unfortunately, I have found our interactions to be strained, hindering effective communication and reducing my confidence in your ability to address my healthcare needs. I would like to request a copy of my medical records, including all test results, consultations, and treatments, as allowed by law. Please inform me of any fees associated with transferring my medical records to my new healthcare provider. You may securely deliver the records to the following address: [Your Preferred Address for Medical Records Delivery] I expect that all my medical records will be transferred within the time frame mandated by Arizona law. Additionally, please specify the process by which I can collect the records or if they will be mailed directly to my new healthcare provider. I appreciate the care you have provided thus far and acknowledge that, at times, it has been beneficial. However, based on the aforementioned reasons, I believe it is in my best interest to pursue a different course of medical care. I trust that you will respect my decision and promptly fulfill my request for the transfer of medical records. Thank you for your attention to this matter. Should you require any additional information or have any questions, please do not hesitate to contact me at the provided contact information. Sincerely, [Your Name]
Arizona Sample Letter for Termination of Physician's Care - Patient to Physician
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