Maine 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. Maine Sample Letter for Termination of Physician's Care — Patient to Physician [Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [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 notify you of my decision to terminate our physician-patient relationship effectively immediately. I have carefully considered this decision and believe it is in my best interest to seek care from another healthcare provider. While I appreciate the medical care and attention you have provided to me over the years, I have decided to explore different options for my healthcare needs. After thorough research and consulting with others, I have decided to move forward with a different physician who may better align with my individual health goals and preferences. I want to emphasize that this decision is not a reflection of your competence, professionalism, or commitment. I appreciate the dedication and care you have demonstrated throughout our time together and want to express my gratitude for your services. To ensure a smooth transition, I kindly request that you transfer my medical records, including any relevant test results, diagnoses, treatment plans, and immunization records, to my new healthcare provider at your earliest convenience. I understand that there may be applicable fees for this service, and I am willing to provide the necessary payment to facilitate the transfer. Additionally, I would appreciate a confirmation letter acknowledging the termination of our physician-patient relationship along with a document listing the date of my last visit and any pending follow-up care or prescriptions. As my chosen healthcare professional, I trust that you will respect my decision and support me in my pursuit of alternative medical care. I value your expertise and would be open to any recommendations or referrals you may have for other healthcare providers who may be suitable for my needs. Thank you for your understanding and cooperation during this transition period. I sincerely wish you continued success in your medical practice. If you have any further questions or require additional information, please do not hesitate to contact me using the provided contact details. Yours sincerely, [Your Name]

Maine Sample Letter for Termination of Physician's Care — Patient to Physician [Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [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 notify you of my decision to terminate our physician-patient relationship effectively immediately. I have carefully considered this decision and believe it is in my best interest to seek care from another healthcare provider. While I appreciate the medical care and attention you have provided to me over the years, I have decided to explore different options for my healthcare needs. After thorough research and consulting with others, I have decided to move forward with a different physician who may better align with my individual health goals and preferences. I want to emphasize that this decision is not a reflection of your competence, professionalism, or commitment. I appreciate the dedication and care you have demonstrated throughout our time together and want to express my gratitude for your services. To ensure a smooth transition, I kindly request that you transfer my medical records, including any relevant test results, diagnoses, treatment plans, and immunization records, to my new healthcare provider at your earliest convenience. I understand that there may be applicable fees for this service, and I am willing to provide the necessary payment to facilitate the transfer. Additionally, I would appreciate a confirmation letter acknowledging the termination of our physician-patient relationship along with a document listing the date of my last visit and any pending follow-up care or prescriptions. As my chosen healthcare professional, I trust that you will respect my decision and support me in my pursuit of alternative medical care. I value your expertise and would be open to any recommendations or referrals you may have for other healthcare providers who may be suitable for my needs. Thank you for your understanding and cooperation during this transition period. I sincerely wish you continued success in your medical practice. If you have any further questions or require additional information, please do not hesitate to contact me using the provided contact details. Yours sincerely, [Your Name]