Hawaii 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. 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]

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]