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Colorado 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.

[Your Name] [Your Address] [City, State, Zip] [Email Address] [Phone Number] [Current Date] [Physician's Name] [Physician's Address] [City, State, Zip] Dear Dr. [Physician's Last Name], I hope this letter finds you well. I am writing to inform you of my decision to terminate our professional relationship as a patient under your care. After careful consideration and discussion with other healthcare professionals, I believe it is in my best interest to seek medical care elsewhere. Firstly, I would like to express my sincere appreciation for the quality of care I have received from you and your dedicated team during my time as your patient. Your expertise and commitment to my well-being have been invaluable, and I am grateful for the treatment and attention you have provided. However, due to personal reasons and a desire for a fresh perspective on my medical condition, I have decided to explore alternative care options. After conducting extensive research and consulting with trusted individuals within the medical field, I am confident that transitioning to a new physician will benefit my overall healthcare journey. I am in the process of identifying a suitable healthcare provider who aligns with my specific needs and preferences. As soon as I have confirmed my new primary care physician, I will notify your office and request my medical records be transferred accordingly. Though this decision was not made lightly, I believe it is crucial to advocate for my own well-being and medical care. Please understand that my decision is not a reflection of any dissatisfaction with your services or the manner in which I was treated. I genuinely appreciate the care you have provided and the positive impact you have made on my health. To ensure a seamless transition, I kindly request that you provide me with a copy of my complete medical records, including any test results, treatment plans, and medications prescribed during my tenure as your patient. I understand that there may be a fee associated with this request, and I am prepared to fulfill any financial obligations for obtaining these records. Moreover, I would be grateful if you could provide recommendations or referrals for other physicians in the area who may be better suited to address my specific health concerns. As someone who values your professional opinion, your recommendations will carry significant weight in my decision-making process. I would appreciate receiving a written acknowledgement of this letter, indicating your understanding of my termination of care. Furthermore, please provide information on the steps I need to follow to request my medical records and settle any outstanding fees. Thank you again for your exceptional care throughout our doctor-patient relationship. Should circumstances change in the future or should I require specialty care that falls within your area of expertise, I would not hesitate to reevaluate our professional connection. Until then, please know that I hold great respect and appreciation for your contributions to my healthcare journey. Wishing you continued success in your medical practice and thanking you for your attention to this matter. Kind regards, [Your Name]

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FAQ

Proper termination requires the following points:Reasonable notice. The length of appropriate notice may depend on the patient's condition and available psychiatric resources in the community.Treatment recommendations and education.Resources for treatment.Records and information.Follow-up letter.

When a physician-patient relationship must be terminated, the physician must carefully document the circumstances in the patient's medical record. This termination note should review the patient's previous medical treatment and the current state of the patient's health.

You can call your doctor, write a note, or let her know at the end of an appointment. Be honest but constructive. If your calls never make it past the receptionist, let her know that. If you need more specialized care, ask for a referral.

When you decide to end your relationship with a patient, inform him or her in writing and send the letter by certified mail, with a return receipt requested. If it's possible to describe the reason for the termination in a brief, clear, objective way, do so in the letter.

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)

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.

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)

When a physician decides to dismiss a patient, the patient should be notified in writing. The letter should be printed on office letterhead and sent by first-class mail and by certified mail with a return receipt requested.

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Once you, as a physician, have engaged to provide care ?Therefore, for example, if you notice a suspicious mole on the back of a ... "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 ...1.1.5 Terminating a Patient-Physician Relationship(a) The patient requests care that is beyond the physician's competence or scope of practice; ...18 pagesMissing: Colorado ? Must include: Colorado 1.1.5 Terminating a Patient-Physician Relationship(a) The patient requests care that is beyond the physician's competence or scope of practice; ... 2. The home health provider should give or send a letter to the patient explaining the circumstances surrounding the termination of care. 3. The letter should ... Patient abandonment is a form of medical malpractice that occurs when a physician terminates the doctor-patient relationship without reasonable notice or a ... The first example letter for notifying patients of a physician leaving their practice comes from Medical Center Clinic. Physicians' professional lives are intertwined with patients,require that a notice be placed in the local newspaper, including date of closure and how ... The required note should not seek a diagnosis/medical condition; rather, the note should verify that the employee was seen by the health care provider and ... The only legal requirement physicians must meet when terminating a relationship with a patient is that they avoid abandonment. If you are a previous SCL Health patient, you may request prescription refillsIn some cases, our physicians may request you make an appointment in our ...

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