Iowa 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. Subject: Sample Letter for Termination of Physician's Care — Patient to Physician Dear [Physician's Name], I hope this letter finds you well. I am writing to inform you of my decision to terminate your services as my primary care physician. After careful consideration, I have determined that it is in my best interest to seek medical care from another healthcare provider. I want to emphasize that my decision is in no way a reflection of your competence or the quality of care you have provided thus far. I appreciate the time, attention, and expertise you have dedicated to my healthcare needs. However, due to personal reasons, I firmly believe that transferring my medical care to another physician is the most suitable course of action for me at this time. As required, I will ensure the continuity of care by transferring my medical records to my new physician. I kindly request that you provide the necessary forms and guidelines that facilitate the release of my medical information to the aforementioned healthcare provider. Please be assured that my decision to transition to another physician is not abrupt or taken lightly. I have thoroughly researched and selected an alternative healthcare professional who aligns with my specific healthcare needs and preferences. I am grateful for the care you have provided me during our professional relationship, and I sincerely appreciate your understanding regarding my decision. Furthermore, I anticipate a smooth transition and hope that you will assist me during this process. Enclosed with this letter, you will find a signed authorization form that allows the transfer of my medical records to my new healthcare provider. I kindly request that you process this request promptly to facilitate the continuity of my care. It is crucial to me that any pending appointments or prescriptions are addressed appropriately. Therefore, I kindly request that you provide me with any necessary information regarding future appointments or medication renewals that may require my attention. This will allow me to make the necessary arrangements and ensure no disruptions in my healthcare. I would like to express my gratitude for your dedication and expertise throughout the time we have worked together. Your commitment to my health and wellbeing is truly appreciated. Thank you for your understanding and cooperation in this matter. Should you require any additional information or have any questions, please do not hesitate to contact me at [Phone Number] or [Email Address]. Sincerely, [Patient's Name] [Patient's Address] [City, State, ZIP] [Date] --- Types of Iowa Sample Letter for Termination of Physician's Care — Patient to Physician: 1. Formal Iowa Sample Letter for Termination of Physician's Care — Patient to Physician: This is a formal letter where the patient professionally informs the physician about their decision to terminate their services and transfer their care to another healthcare provider. 2. Polite Iowa Sample Letter for Termination of Physician's Care — Patient to Physician: This type of letter maintains a respectful and courteous tone while expressing the patient's desire to discontinue their current physician's care. 3. Informative Iowa Sample Letter for Termination of Physician's Care — Patient to Physician: This letter includes detailed information about transferring medical records, upcoming appointments, and medication renewals, ensuring a smooth transition of care. 4. Grateful Iowa Sample Letter for Termination of Physician's Care — Patient to Physician: This type of letter expresses appreciation for the care received from the physician and acknowledges their dedication and expertise. Note: It is essential to adapt the letter to fit specific circumstances and add relevant personal details.

Subject: Sample Letter for Termination of Physician's Care — Patient to Physician Dear [Physician's Name], I hope this letter finds you well. I am writing to inform you of my decision to terminate your services as my primary care physician. After careful consideration, I have determined that it is in my best interest to seek medical care from another healthcare provider. I want to emphasize that my decision is in no way a reflection of your competence or the quality of care you have provided thus far. I appreciate the time, attention, and expertise you have dedicated to my healthcare needs. However, due to personal reasons, I firmly believe that transferring my medical care to another physician is the most suitable course of action for me at this time. As required, I will ensure the continuity of care by transferring my medical records to my new physician. I kindly request that you provide the necessary forms and guidelines that facilitate the release of my medical information to the aforementioned healthcare provider. Please be assured that my decision to transition to another physician is not abrupt or taken lightly. I have thoroughly researched and selected an alternative healthcare professional who aligns with my specific healthcare needs and preferences. I am grateful for the care you have provided me during our professional relationship, and I sincerely appreciate your understanding regarding my decision. Furthermore, I anticipate a smooth transition and hope that you will assist me during this process. Enclosed with this letter, you will find a signed authorization form that allows the transfer of my medical records to my new healthcare provider. I kindly request that you process this request promptly to facilitate the continuity of my care. It is crucial to me that any pending appointments or prescriptions are addressed appropriately. Therefore, I kindly request that you provide me with any necessary information regarding future appointments or medication renewals that may require my attention. This will allow me to make the necessary arrangements and ensure no disruptions in my healthcare. I would like to express my gratitude for your dedication and expertise throughout the time we have worked together. Your commitment to my health and wellbeing is truly appreciated. Thank you for your understanding and cooperation in this matter. Should you require any additional information or have any questions, please do not hesitate to contact me at [Phone Number] or [Email Address]. Sincerely, [Patient's Name] [Patient's Address] [City, State, ZIP] [Date] --- Types of Iowa Sample Letter for Termination of Physician's Care — Patient to Physician: 1. Formal Iowa Sample Letter for Termination of Physician's Care — Patient to Physician: This is a formal letter where the patient professionally informs the physician about their decision to terminate their services and transfer their care to another healthcare provider. 2. Polite Iowa Sample Letter for Termination of Physician's Care — Patient to Physician: This type of letter maintains a respectful and courteous tone while expressing the patient's desire to discontinue their current physician's care. 3. Informative Iowa Sample Letter for Termination of Physician's Care — Patient to Physician: This letter includes detailed information about transferring medical records, upcoming appointments, and medication renewals, ensuring a smooth transition of care. 4. Grateful Iowa Sample Letter for Termination of Physician's Care — Patient to Physician: This type of letter expresses appreciation for the care received from the physician and acknowledges their dedication and expertise. Note: It is essential to adapt the letter to fit specific circumstances and add relevant personal details.