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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
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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]

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FAQ

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.

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.

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.

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.

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.

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.

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