• US Legal Forms

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

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

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 that after careful consideration, I have made the difficult decision to terminate my care under your supervision as my physician. This decision stems from various factors that I believe are important for me to address. First and foremost, I would like to express my gratitude for the care and attention you have provided me with thus far. Your expertise and dedication have played a significant role in my overall well-being, and for that, I am thankful. However, I believe it is now necessary for me to explore alternative options for my healthcare. Upon reflection, I have come to realize that my healthcare needs have evolved, and I am seeking a different approach to address them. While your knowledge and experience in your field are commendable, I feel compelled to explore different medical perspectives to better suit my current health requirements and goals. Furthermore, it is important for me to note that this decision is not a reflection of any dissatisfaction with the care I have received from you or your staff. On the contrary, I have experienced exceptional care during my time as your patient. However, it is essential for me to prioritize my own personal and medical preferences at this stage of my healthcare journey. I would like to request that you kindly provide me with a copy of my medical records for my personal reference and future healthcare needs. Please let me know the necessary procedure and any associated costs for obtaining these records. Lastly, I would like to thank you once again for your dedication and commitment to my healthcare. Your professionalism and support have greatly contributed to my overall well-being, and I am grateful for the care that you and your team have provided. I wish you continued success in your medical practice. Thank you for your attention to this matter and for understanding my decision. I hope that we can part ways amicably, and I trust that you will respect my wishes. Sincerely, [Your Name]

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

You might spend hours online looking for the legal document template that satisfies the federal and state regulations you require. US Legal Forms offers a vast array of legal templates that have been evaluated by experts.

You can easily download or print the Florida Sample Letter for Termination of Physician's Care - Patient to Physician from my service.

If you already possess a US Legal Forms account, you can Log In and click on the Download button. Then, you can fill out, edit, print, or sign the Florida Sample Letter for Termination of Physician's Care - Patient to Physician. Every legal document template you purchase is yours permanently.

Complete the transaction. You can utilize your credit card or PayPal account to purchase the legal document. Select the format of the document and download it to your device. Make modifications to your document if necessary. You can fill out, edit, and sign the Florida Sample Letter for Termination of Physician's Care - Patient to Physician. Download and print numerous document templates using the US Legal Forms website, which provides the largest selection of legal templates. Utilize professional and state-specific templates to address your business or personal needs.

  1. To acquire another copy of a purchased document, visit the My documents tab and click on the corresponding button.
  2. If you are using the US Legal Forms site for the first time, follow the straightforward instructions provided below.
  3. First, ensure that you have selected the appropriate document template for the region/city of your choice. Review the document description to confirm you have selected the right template.
  4. If available, use the Preview button to glance through the document template as well.
  5. If you wish to find another version of the document, use the Search field to locate the template that fits your needs and requirements.
  6. Once you have located the template you desire, click Buy now to proceed.
  7. Choose the pricing plan you prefer, enter your details, and register for a free account on US Legal Forms.

Form popularity

FAQ

When the situation for dismissing the patient is appropriate, provide a formal written notice stating that you are withdrawing care and requiring the patient to find another practitioner. Mail the written notice to the patient by both first-class and certified mail with a return receipt requested.

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.

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)

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.

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.

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.

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.

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.

The letter can suggest that the patient refer to their managed care organization or respective insurance carrier to obtain the names of physicians who could provide care. If a patient is enrolled in a managed care organization, the managed care organization must also be notified of the termination.

Interesting Questions

More info

University of Florida Physicians has developed a Dismissal Policy thatother template letters are available for situations where the patient has ... Physicians should send written notice to the patient by certified mail, return receipt requested. The physician should continue to treat the ...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: Florida ? Must include: Florida 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 sample withdrawal from care letter (See sample letter ?B? below) can be adapted by physicians to discharge a patient and permanently ... The length of notice depends on the types of patients in the practice, their aggregate need for continuing care, and the difficulty of finding ... I have received your letter terminating my contract as a participating physician in the Plan/Network. To date I have received no complaints from your ... The need for medical care can interrupt the pattern of busy lives.If you are a new patient, please fill out the registration forms listed below in ... Once you, as a physician, have engaged to provide care ?would be advisable to also include a release form with the termination letter. The physician should issue a written termination letter to the patient prior to the effective date of termination. The letter should clearly ... Can a PA order home health care without a physician's signature?the changes are on file and approved, and you have in your possession a letter from the ...

Trusted and secure by over 3 million people of the world’s leading companies

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