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]
Georgia Sample Letter for Termination of Physician's Care - Patient to Physician
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How to fill out Georgia Sample Letter For Termination Of Physician's Care - Patient To Physician?
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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.
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)
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 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.
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.
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.
Physicians should send written notice to the patient by certified mail, return receipt requested. The physician should continue to treat the patient until he or she has had a reasonable time to find an alternative source of care.
If you don't feel comfortable giving feedback face to face, consider sending a letter that explains why you're changing doctors, Blackwelder says. There's no guarantee that your letter will change the doctor's bedside manner, but you never know, so it's worth doing, he says.
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.
A patient can end the relationship by giving the physician oral or written notification. Physicians should document this notification in the patient's chart. It may be prudent to send the patient an acknowledgment that he or she has terminated the doctor-patient relationship, and then retain a copy of the letter.
