District of Columbia 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. Title: District of Columbia Sample Letter for Termination of Physician's Care — Patient to Physician Introduction: Terminating a physician's care is an important decision that requires a well-crafted letter in order to maintain professionalism and ensure a smooth transition. In the District of Columbia (D.C.), patients have the right to change their healthcare providers, and this sample letter for termination of physician's care provides patients with a comprehensive guideline to express their decision effectively. Sample Letter for Termination of Physician's Care — Patient to Physician: [Patient's Name] [Patient's Address] [City, State, Zip Code] [Email Address] [Phone Number] [Date] [Physician's Name] [Physician's Clinic/Hospital Name] [Physician's Address] [City, State, Zip Code] 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 physician-patient relationship effective immediately. It has not been an easy decision for me, but after careful consideration, I have decided to seek medical care from another provider. I would like to express my gratitude for the care you have provided during our time together. Your expertise, professionalism, and dedication have been commendable. However, I believe that it is in my best interest to explore different medical options at this time. I kindly request that you transfer my medical records to my new healthcare provider. To facilitate this transfer, I have signed a release form, which I will provide to your office at your earliest convenience. I understand that there may be a reasonable fee associated with the copying and transferring of these records, and I am willing to cover the necessary costs. As part of the termination process, I also request that you proactively address any pending prescriptions, referrals, or ongoing treatment plans. If necessary, please provide me with a comprehensive summary of my medical history and any advice regarding continuing care. I would appreciate your confirmation of receiving this termination notification and the timeline for the transfer of my medical records. Please send any correspondence to the address listed above or via email at [Email Address]. If you have any questions or require further information, I am available by phone at [Phone Number]. Thank you again for your expertise and commitment to my healthcare. I genuinely appreciate the care I have received under your supervision, but I believe that exploring alternative medical options is necessary for my well-being. I wish you continued success in your medical practice. Sincerely, [Patient's Full Name and Signature] Keywords: District of Columbia, sample letter, termination, physician's care, patient, healthcare providers, medical records, transfer, medical options, provider, prescriptions, referrals, treatment plans, termination process, summary, medical history, notification, confirmation, timeline, alternative medical options, care. Different types of District of Columbia Sample Letters for Termination of Physician's Care — Patient to Physician include: 1. District of Columbia Sample Letter for Termination of Physician's Care — Patienphysiciania— - Standard Version: This is a general sample letter suitable for most patients seeking to terminate their physician's care in the District of Columbia. 2. District of Columbia Sample Letter for Termination of Physician's Care — Patienphysiciania— - Urgent Termination: This type of letter is for situations where the patient requires immediate termination due to urgent medical needs or a specific concern. 3. District of Columbia Sample Letter for Termination of Physician's Care — Patienphysiciania— - Dispute Resolution: This variant of the letter is for situations where the termination is a result of a disagreement or unsatisfactory resolution of medical concerns with the physician. Note: It is advised to consult legal professionals or review specific state laws before using any sample letters for termination of physician's care to ensure compliance with the District of Columbia regulations.

Title: District of Columbia Sample Letter for Termination of Physician's Care — Patient to Physician Introduction: Terminating a physician's care is an important decision that requires a well-crafted letter in order to maintain professionalism and ensure a smooth transition. In the District of Columbia (D.C.), patients have the right to change their healthcare providers, and this sample letter for termination of physician's care provides patients with a comprehensive guideline to express their decision effectively. Sample Letter for Termination of Physician's Care — Patient to Physician: [Patient's Name] [Patient's Address] [City, State, Zip Code] [Email Address] [Phone Number] [Date] [Physician's Name] [Physician's Clinic/Hospital Name] [Physician's Address] [City, State, Zip Code] 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 physician-patient relationship effective immediately. It has not been an easy decision for me, but after careful consideration, I have decided to seek medical care from another provider. I would like to express my gratitude for the care you have provided during our time together. Your expertise, professionalism, and dedication have been commendable. However, I believe that it is in my best interest to explore different medical options at this time. I kindly request that you transfer my medical records to my new healthcare provider. To facilitate this transfer, I have signed a release form, which I will provide to your office at your earliest convenience. I understand that there may be a reasonable fee associated with the copying and transferring of these records, and I am willing to cover the necessary costs. As part of the termination process, I also request that you proactively address any pending prescriptions, referrals, or ongoing treatment plans. If necessary, please provide me with a comprehensive summary of my medical history and any advice regarding continuing care. I would appreciate your confirmation of receiving this termination notification and the timeline for the transfer of my medical records. Please send any correspondence to the address listed above or via email at [Email Address]. If you have any questions or require further information, I am available by phone at [Phone Number]. Thank you again for your expertise and commitment to my healthcare. I genuinely appreciate the care I have received under your supervision, but I believe that exploring alternative medical options is necessary for my well-being. I wish you continued success in your medical practice. Sincerely, [Patient's Full Name and Signature] Keywords: District of Columbia, sample letter, termination, physician's care, patient, healthcare providers, medical records, transfer, medical options, provider, prescriptions, referrals, treatment plans, termination process, summary, medical history, notification, confirmation, timeline, alternative medical options, care. Different types of District of Columbia Sample Letters for Termination of Physician's Care — Patient to Physician include: 1. District of Columbia Sample Letter for Termination of Physician's Care — Patienphysiciania— - Standard Version: This is a general sample letter suitable for most patients seeking to terminate their physician's care in the District of Columbia. 2. District of Columbia Sample Letter for Termination of Physician's Care — Patienphysiciania— - Urgent Termination: This type of letter is for situations where the patient requires immediate termination due to urgent medical needs or a specific concern. 3. District of Columbia Sample Letter for Termination of Physician's Care — Patienphysiciania— - Dispute Resolution: This variant of the letter is for situations where the termination is a result of a disagreement or unsatisfactory resolution of medical concerns with the physician. Note: It is advised to consult legal professionals or review specific state laws before using any sample letters for termination of physician's care to ensure compliance with the District of Columbia regulations.