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

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

This form is a sample letter in Word format covering the subject matter of the title of the form.

How to fill out Sample Letter For Termination Of Physician's Care - Patient To Physician?

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FAQ

The typical termination procedure involves consulting with the patient's insurer about your plans, then sending a letter to the patient by certifed mail, with a return receipt requested.

A patient can end the relationship by giving the physician oral or written notification. Physicians should document this notification in the patient's chart. It may be prudent to send the patient an acknowledgment that he or she has terminated the doctor-patient relationship, and then retain a copy of the letter.

The physician terminates the physician-patient relationship by notifying the patient in writing of withdrawal from care after a specific time which is stated in the letter. The patient is also given information necessary to obtain their medical records or transfer to another provider.

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.

Physicians are reminded that patients may continue to de-roster themselves by contacting the Service Ontario INFOline at 1-800-267-8097.

Terminating a patient formally involves written noticevia certified mail, return receipt to the patient that he/she should find another healthcare provider. Keep all copies of the letter and any other correspondence you may have in the patient's medical record.

Removing a patient from your practice: A physician's legal and ethical responsibilities. While a doctor may discharge a patient for any nondiscriminatory reason, termination is not without pitfalls. Physicians should follow a careful process so as to avoid claims of patient abandonment.

In general, the physician-patient relationship can be terminated in two ways without creating liability for abandonment: 1) the physician ends the relationship after giving the patient notice, a reasonable opportunity to find substitute care and the information necessary to obtain the patient's medical records, or 2)

They can only be terminated when they are not actively in need of care. The patient sought care with you. They can only be terminated by giving them reasonable time to find care elsewhere. Your conduct allowed the patient to reasonably believe that you were their doctor.

How Can I End the Patient/Physician Relationship? You can end the patient/physician relationship by explicitly telling your doctor that you no longer want to be treated by him or her.

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