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

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US-0237LR
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This form is a sample letter in Word format covering the subject matter of the title of the form.

Illinois Sample Letter for Termination of Physician's Care — Patient to Physician Subject: Termination of Care — [Patient's Name] [Date] [Physician's Name] [Physician's Address] [City, State, ZIP Code] Dear Dr. [Physician's Last Name], I hope this letter finds you well. I am writing to inform you of my decision to terminate our doctor-patient relationship effective immediately. I sincerely appreciate the care and support you have provided to me during our time working together. However, after careful consideration, I have decided to seek medical treatment from another physician for my ongoing healthcare needs. As an active participant in my healthcare, it is crucial for me to have confidence in the medical care and treatment I receive. Regrettably, I feel that my current medical needs are not being adequately met, and I believe it is in my best interest to explore other options. It is important to note that this decision is not a reflection of your medical expertise or commitment, but rather a personal choice based on my need for a different approach to my healthcare. I kindly request that you transfer my medical records to my new healthcare provider as soon as possible. Additionally, please include any pertinent information, such as test results, diagnoses, treatment plans, and medication prescriptions. Ensuring the seamless continuation of my medical care is of utmost importance to me. I understand that as a healthcare professional, you have an obligation to maintain the confidentiality of my medical information. Therefore, I trust that my records will be handled with the utmost care and in compliance with all applicable privacy laws. I would like to express my gratitude for the medical care you have provided to me up until this point. Your expertise and dedication have been invaluable. Please know that this decision was not made lightly, and I hope you understand and respect my choice. Should I require medical care in the future and feel the need to reestablish our doctor-patient relationship, I will not hesitate to reach out to your office. Thank you again for your understanding. Wishing you all the best in your future endeavors. Sincerely, [Patient's Name] [Patient's Address] [City, State, ZIP Code] Keywords: Illinois sample letter, termination of physician's care, patient to physician, doctor-patient relationship, seeking new medical treatment, medical records transfer, medical information confidentiality, gratitude for medical care, future doctor-patient relationship.

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FAQ

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.

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.

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)

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.

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.

Physicians are reminded that patients may continue to de-roster themselves by contacting the Service Ontario INFOline at 1-800-267-8097.

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.

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)

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How Can a Physician Properly Terminate the Physician-Patient Relationship? · give the patient proper notice that the physician is terminating the physician- ... In Illinois, you can choose someone to be your ?health care agent.(i) talk with physicians and other health care providers about your condition.5 pages In Illinois, you can choose someone to be your ?health care agent.(i) talk with physicians and other health care providers about your condition.By W Tessier · 2018 · Cited by 1 ? If another health care provider has agreed to provide patient care in the interimMany medical associations provide example termination letters on their ... A. Patient Abandonment. Pursuant to the Illinois Medical Practice Act of 1987, abandonment is grounds for physician discipline. 225 ILCS 60/22( ...37 pages ? A. Patient Abandonment. Pursuant to the Illinois Medical Practice Act of 1987, abandonment is grounds for physician discipline. 225 ILCS 60/22( ... Patient abandonment is a form of medical malpractice that occurs when a physician terminates the doctor-patient relationship without reasonable notice or a ... Within 30 days of learning of a physician's termination or resignation, a medical practice must send notice by mail or by HIPAA-compliant ... They are required to use a team approach of physicians working withCan Rural Health Clinics be certified as Patient-Centered Medical Homes (PCMHs)? ... The Court rejected the physician's argument that if a committee could havethat qualify as a Peer Review Committee such as an HMO, hospital, health care.57 pages The Court rejected the physician's argument that if a committee could havethat qualify as a Peer Review Committee such as an HMO, hospital, health care.

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