Sample Letter for Termination of Physician's Care — Physician to Patient in Kentucky: [Your Name] [Your Address] [City, State ZIP] [Date] [Patient's Name] [Patient's Address] [City, State ZIP] Dear [Patient's Name], RE: Termination of Physician's Care I hope this letter finds you in good health. As your primary care physician, it is my responsibility to provide you with the highest level of medical care and ensure your well-being. Over the course of our doctor-patient relationship, I have thoroughly assessed your medical condition and made every effort to deliver comprehensive care. However, after careful consideration and reviewing your medical records, I regret to inform you that I will need to terminate our physician-patient relationship. This decision has been made due to the following reasons: 1. [Reason for Termination] — It is important to provide a clear and concise reason for the termination. This may include but is not limited to: — Non-compliance with prescribed treatment plans. — Missed/late appointments without adequate communication. — Failure to follow behavioral guidelines or exhibit abusive behavior towards staff. — Inappropriate prescription drug-seeking behavior. — Consistent failure to provide accurate medical history. 2. [Additional Reason] — If applicable, mention any other circumstances contributing to the termination. Please understand that this decision was not made lightly, and I believe it is in your best interest to seek medical care elsewhere. The quality of care and therapeutic relationship is crucial for both patients and physicians, and it is essential to maintain a mutually respectful and trusting environment. To ensure a smooth transition, I recommend promptly contacting another healthcare provider to arrange for future medical care. In the event that you need assistance finding a new physician, I am available to provide appropriate recommendations to ensure continuity of care. Please note that I will continue to provide emergency medical services until [specific date, generally 30 days from the date of this letter]. To facilitate the transfer of your medical records, please complete the attached consent form and return it to our office at your earliest convenience. Along with the medical records, any outstanding balances or pending insurance claims will also be transferred to your new healthcare provider. If you have any questions or require further clarification about this termination, please feel free to contact our office. It is essential to address any concerns you may have to ensure a successful transition to another provider. Thank you for entrusting me with your medical care thus far. I genuinely hope you find a new healthcare professional who meets your needs and provides the level of care you deserve. Wishing you the best for your future health. Sincerely, [Your Name] [Your Title/Credentials] [Medical Practice Name] [Phone Number] [Email Address] Keywords: termination of physician's care, physician-patient relationship, primary care physician, patient termination letter, patient's medical records, continuity of care, seeking new healthcare provider, medical care transfer, healthcare professional, medical practice, Kentucky termination letter, physician's termination.
Kentucky Sample Letter for Termination of Physician's Care - Physician to Patient
Description
How to fill out Sample Letter For Termination Of Physician's Care - Physician To Patient?
If you are looking to finalize, obtain, or print sanctioned document templates, utilize US Legal Forms, the most extensive assortment of sanctioned forms, available online.
Employ the site's straightforward and user-friendly search to find the documents you require. A variety of templates for business and personal use are organized by categories and states, or keywords.
Utilize US Legal Forms to acquire the Kentucky Sample Letter for Termination of Physician's Care - Physician to Patient with just a few clicks.
Every legal document template you acquire is yours permanently. You have access to every form you downloaded within your account. Click the My documents section and select a form to print or download again.
Complete and obtain, and print the Kentucky Sample Letter for Termination of Physician's Care - Physician to Patient with US Legal Forms. There are numerous professional and state-specific forms available for your business or personal needs.
- If you are already a US Legal Forms user, Log In to your account and click on the Download button to retrieve the Kentucky Sample Letter for Termination of Physician's Care - Physician to Patient.
- You can also access forms you have previously downloaded from the My documents tab in your account.
- If you are using US Legal Forms for the first time, follow the instructions below.
- Step 1. Ensure you have selected the form for your correct city/state.
- Step 2. Use the Preview option to review the form’s content. Don’t forget to read the details.
- Step 3. If you are dissatisfied with the form, utilize the Search box at the top of the screen to find other types of the legal form template.
- Step 4. Once you have found the form you need, click the Acquire now button. Choose the pricing plan you prefer and provide your details to register for an account.
- Step 5. Complete the transaction. You can use your credit card or PayPal account to process the payment.
- Step 6. Select the format of your legal form and download it to your device.
- Step 7. Complete, edit, and print or sign the Kentucky Sample Letter for Termination of Physician's Care - Physician to Patient.
Form popularity
FAQ
The typical termination procedure involves consulting with the patient's insurer about your plans, then sending a letter to the patient by certifed 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)
This is to inform you that I (Patient Name) got admitted in your hospital on (dated). I am writing this letter in order to request you to kindly issue discharge certificate as I have to (reason for issuance of discharge summary mediclaim/ reimbursement / any other reason).
Appropriate and Ethical The first step is to notify the patient that you will no longer be treating him. Although laws vary by state, most statutes mandate a reasonable notification time period. To be safe, you should give the patient at least 30 days' notice.
How to Write a Discharge SummaryDemographics.Clinical details.Future management.Medications.Allergies and adverse reactions.Information for the patient.Person completing record.Other sections that may be included.More items...?
This is to inform you that I (Patient Name) got admitted in your hospital on (dated). I am writing this letter in order to request you to kindly issue discharge certificate as I have to (reason for issuance of discharge summary mediclaim/ reimbursement / any other reason).
According to CMA's California Physician Legal Handbook, physicians can terminate a patient-physician relationship without cause.
Giving proper notice to a patient usually includes telling the patient, either on the phone or face to face, that the physician is terminating the physician-patient relationship and writing the patient a letter confirming the termination. The letter should be sent by certified mail, return receipt requested.
This letter is to inform you that I am no longer willing to be your primary care physician. The reason for this decision is describe reason briefly, or omit this sentence. Our office will continue to direct your care for any emergencies that arise over the next 30 days.
A patient can end the relationship by giving the physician oral or written notification. Physicians should document this notification in the patient's chart. It may be prudent to send the patient an acknowledgment that he or she has terminated the doctor-patient relationship, and then retain a copy of the letter.
