Dear [Physician's 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. This decision is not one that I have taken lightly and comes after careful consideration and discussion with my loved ones. Firstly, I would like to express my sincerest gratitude for the care and support you have provided me throughout our time together. Your expertise and commitment to my well-being have been invaluable, and I am truly appreciative of the medical attention you have given me. However, after much thought, I have chosen to pursue alternative medical options for my condition. [Explain the reasons for seeking a new physician or medical approach, such as a desire for a second opinion, relocation, change in insurance coverage, or personal preferences.] I want to emphasize that this decision is in no way a reflection of your skills as a physician or the quality of care you provide. It is simply a personal choice that I believe will be best for my health journey moving forward. Please consider this as my formal request to obtain my medical records from your office. Due to privacy regulations, I am aware that a signed release form may be necessary for the transfer of these records. Kindly inform me of the necessary steps or paperwork required for this process. I would also greatly appreciate any recommendations or referrals you may have for other healthcare professionals that specialize in [your medical condition or area of concern]. Your expertise and knowledge of the medical community in Hawaii would be of immeasurable value in guiding me towards the most suitable healthcare provider. Lastly, I would like to thank you again for your dedication and care during our time together. Your professionalism and compassion have made a significant impact on me, and I am grateful for the positive experiences I have had under your watchful eye. Should circumstances change, or I find myself in need of medical care in the future, I will not hesitate to consider your services once again. I wish you all the best in your continued practice and future endeavors. Thank you for your understanding and cooperation. Sincerely, [Your Name] [Your Contact Information]
Hawaii Sample Letter for Termination of Physician's Care - Patient to Physician
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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.
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)
The discharge letter should be marked "personal/confidential" and mailed by certified mail, return receipt requested, to the patient's last known address. File a copy of the letter and the receipt in the patient's medical record.
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.
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.
When a physician-patient relationship must be terminated, the physician must carefully document the circumstances in the patient's medical record. This termination note should review the patient's previous medical treatment and the current state of the patient's health.
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)
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.
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.
