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Idaho 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 decision to terminate our physician-patient relationship. This decision was not made lightly, but after careful consideration, I believe it is in my best interest to seek medical care from another healthcare provider. I want to express my sincere gratitude for the care and attention you have provided me during our time together. Your expertise and dedication to my well-being have been truly appreciated. However, I feel that it is necessary for me to explore other options for my healthcare needs. I would like to request that you transfer my medical records, including any relevant test results and treatment history, to the new healthcare provider of my choice. Please let me know the process and any associated fees, if applicable, so that I can provide the necessary instructions for the transfer. While I understand that discontinuing our professional relationship may come as a surprise, I assure you that this decision is purely driven by personal reasons and does not reflect any dissatisfaction with your services. I hold the utmost respect for your medical expertise and the care you have provided throughout our time working together. Please consider this letter as a formal notice of termination of our physician-patient relationship, effective immediately. I kindly request that you acknowledge receipt of this letter and confirm the transfer of my medical records within [specific timeframe or number of days]. Thank you for your understanding in this matter. I wish you continued success in your medical practice, and I am thankful for the care you have provided me thus far. Sincerely, [Your Name] [Your Contact Information]

Dear [Physician's Name], I hope this letter finds you well. I am writing to inform you that I have made the decision to terminate our physician-patient relationship. This decision was not made lightly, but after careful consideration, I believe it is in my best interest to seek medical care from another healthcare provider. I want to express my sincere gratitude for the care and attention you have provided me during our time together. Your expertise and dedication to my well-being have been truly appreciated. However, I feel that it is necessary for me to explore other options for my healthcare needs. I would like to request that you transfer my medical records, including any relevant test results and treatment history, to the new healthcare provider of my choice. Please let me know the process and any associated fees, if applicable, so that I can provide the necessary instructions for the transfer. While I understand that discontinuing our professional relationship may come as a surprise, I assure you that this decision is purely driven by personal reasons and does not reflect any dissatisfaction with your services. I hold the utmost respect for your medical expertise and the care you have provided throughout our time working together. Please consider this letter as a formal notice of termination of our physician-patient relationship, effective immediately. I kindly request that you acknowledge receipt of this letter and confirm the transfer of my medical records within [specific timeframe or number of days]. Thank you for your understanding in this matter. I wish you continued success in your medical practice, and I am thankful for the care you have provided me thus far. Sincerely, [Your Name] [Your Contact Information]

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