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

• Category: Letters - Nonlegal - Termination
• State: Multi-State
• Control #: US-0237LR
• Format: Word; Rich Text

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]

[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]