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Georgia 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 I have made the difficult decision to terminate our professional relationship as my healthcare provider. After careful consideration, I believe it is in my best interest to seek care from a different physician. I want to express my gratitude for the medical care you have provided me with during our time together. Your expertise and dedication to your profession have been invaluable, and I appreciate all the effort you have put into my treatment. However, I feel that it is time for a fresh perspective on my medical needs. Please note that this decision is not a reflection of dissatisfaction with your medical practice or the quality of care provided. It is simply a personal choice that I believe will benefit my overall well-being. I kindly request that you provide me with a copy of my medical records in accordance with Georgia state laws and regulations. It is crucial to have these records transferred to my new healthcare provider to ensure seamless continuity of care. If there are any fees associated with obtaining these records, I am willing to cover the expenses. Furthermore, I would appreciate your assistance in recommending a suitable healthcare provider who may be able to address my specific medical needs. As you are familiar with my medical history and conditions, your guidance would be greatly valued during this transitional period. In closing, I want to express my gratitude once again for your care and support throughout our doctor-patient relationship. I trust that you will respect my decision and I sincerely hope that our paths may cross in the future under different circumstances. Thank you for your attention to this matter, and I wish you continued success in your medical practice. Sincerely, [Your Name]

Dear [Physician's Name], I hope this letter finds you well. I am writing to inform you that I have made the difficult decision to terminate our professional relationship as my healthcare provider. After careful consideration, I believe it is in my best interest to seek care from a different physician. I want to express my gratitude for the medical care you have provided me with during our time together. Your expertise and dedication to your profession have been invaluable, and I appreciate all the effort you have put into my treatment. However, I feel that it is time for a fresh perspective on my medical needs. Please note that this decision is not a reflection of dissatisfaction with your medical practice or the quality of care provided. It is simply a personal choice that I believe will benefit my overall well-being. I kindly request that you provide me with a copy of my medical records in accordance with Georgia state laws and regulations. It is crucial to have these records transferred to my new healthcare provider to ensure seamless continuity of care. If there are any fees associated with obtaining these records, I am willing to cover the expenses. Furthermore, I would appreciate your assistance in recommending a suitable healthcare provider who may be able to address my specific medical needs. As you are familiar with my medical history and conditions, your guidance would be greatly valued during this transitional period. In closing, I want to express my gratitude once again for your care and support throughout our doctor-patient relationship. I trust that you will respect my decision and I sincerely hope that our paths may cross in the future under different circumstances. Thank you for your attention to this matter, and I wish you continued success in your medical practice. Sincerely, [Your Name]

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