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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
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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.

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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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The patient is aware of the physician's decision. A copy of the letter and the return receipt should be retained. (A sample letter terminating the physician ...8 pagesMissing: California ? Must include: California the patient is aware of the physician's decision. A copy of the letter and the return receipt should be retained. (A sample letter terminating the physician ... The physician should issue a written termination letter to the patient prior to the effective date of termination. The letter should clearly ...Regardless of the state you are in, best practice for physicians is toreviewing sample closure letters floating around on the internet ... "It's not the patient who's terminated that keeps the doctor up atIn the dismissal letter, state how the patient can request a copy ... The End of Life Option Act ("the act") is a new California law that goes intoIs willing to meet with three different physicians to discuss the request, ... Data on patient dismissal are scanty, but a 2008 study of 526 primary care physicians published in the Journal of General Internal Medicine suggests that as ... Participating in this end-of-life option is voluntary for both patients and physicians. Who can use this option? To receive the aid-in-dying drug, a person must ... The individual and file a Notice of Election with the Medicare contractor,form, in addition to the physician's signature on the certification or.62 pages the individual and file a Notice of Election with the Medicare contractor,form, in addition to the physician's signature on the certification or. Such as personal health records managed by the patient.clinic, physician or provider and can be certified by the UC Record Custodian(s) as such. How Can a Physician Properly Terminate the Physician-Patient Relationship? · give the patient proper notice that the physician is terminating the physician- ...

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