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California Sample Letter for Termination of Physician's Care - Patient to Physician

State:
Multi-State
Control #:
US-0237LR
Format:
Word; 
Rich Text
Instant download

Description

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 patient-physician relationship effective [Date]. After careful consideration, I believe it is in my best interest to seek medical care from another physician. I want to express my appreciation for the care and attention you have provided me during our time together. Your expertise and dedication to my well-being have been invaluable, and I am grateful for the medical support you have given me throughout our physician-patient relationship. The decision to change physicians is not one that I have taken lightly. However, I feel it is essential to explore other medical options that may better align with my current needs and preferences. I kindly request that you facilitate the transfer of my medical records to the new physician I have chosen, as it is crucial for them to have a comprehensive understanding of my medical history. I understand there may be a standard process or form I need to complete to authorize the transfer. Please provide me with any necessary documents or instructions, and I will promptly comply. I want to assure you that this decision is not a reflection of the quality of care you have provided. It is purely a personal choice based on my current circumstances. I value your professionalism and expertise, and I am confident that you will continue to offer excellent care to your patients. Thank you once again for your dedication and commitment to my health. I appreciate your understanding in this matter. Please do not hesitate to contact me if you require any additional information or have any questions. Wishing you all the best in your future endeavors. Sincerely, [Patient's Name] [Patient's Contact Information] Additional Types: 1. Sample Letter for Termination of Physician's Care — Patienphysiciania— - Retirement: This type of letter is used when a physician announces their retirement, and the patient subsequently decides to terminate the patient-physician relationship. The content would reflect the patient's gratitude for the physician's care and understanding of their retirement decision. 2. Sample Letter for Termination of Physician's Care — Patienphysiciania— - Relocation: If a patient is moving out of state or a significant distance away, they may need to terminate the care of their current physician due to the logistical challenges. This letter would express appreciation for the care provided and explain the need to seek medical care in the new location. 3. Sample Letter for Termination of Physician's Care — Patienphysiciania— - Dissatisfaction: In cases where a patient has experienced dissatisfaction with the physician's care, this type of letter is used to formally terminate the relationship. The content would include polite yet candid feedback regarding the reasons for the patient's dissatisfaction and the decision to seek alternative medical care.

Dear [Physician's Name], I hope this letter finds you well. I am writing to inform you of my decision to terminate our patient-physician relationship effective [Date]. After careful consideration, I believe it is in my best interest to seek medical care from another physician. I want to express my appreciation for the care and attention you have provided me during our time together. Your expertise and dedication to my well-being have been invaluable, and I am grateful for the medical support you have given me throughout our physician-patient relationship. The decision to change physicians is not one that I have taken lightly. However, I feel it is essential to explore other medical options that may better align with my current needs and preferences. I kindly request that you facilitate the transfer of my medical records to the new physician I have chosen, as it is crucial for them to have a comprehensive understanding of my medical history. I understand there may be a standard process or form I need to complete to authorize the transfer. Please provide me with any necessary documents or instructions, and I will promptly comply. I want to assure you that this decision is not a reflection of the quality of care you have provided. It is purely a personal choice based on my current circumstances. I value your professionalism and expertise, and I am confident that you will continue to offer excellent care to your patients. Thank you once again for your dedication and commitment to my health. I appreciate your understanding in this matter. Please do not hesitate to contact me if you require any additional information or have any questions. Wishing you all the best in your future endeavors. Sincerely, [Patient's Name] [Patient's Contact Information] Additional Types: 1. Sample Letter for Termination of Physician's Care — Patienphysiciania— - Retirement: This type of letter is used when a physician announces their retirement, and the patient subsequently decides to terminate the patient-physician relationship. The content would reflect the patient's gratitude for the physician's care and understanding of their retirement decision. 2. Sample Letter for Termination of Physician's Care — Patienphysiciania— - Relocation: If a patient is moving out of state or a significant distance away, they may need to terminate the care of their current physician due to the logistical challenges. This letter would express appreciation for the care provided and explain the need to seek medical care in the new location. 3. Sample Letter for Termination of Physician's Care — Patienphysiciania— - Dissatisfaction: In cases where a patient has experienced dissatisfaction with the physician's care, this type of letter is used to formally terminate the relationship. The content would include polite yet candid feedback regarding the reasons for the patient's dissatisfaction and the decision to seek alternative medical care.

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California Sample Letter for Termination of Physician's Care - Patient to Physician