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

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Multi-State
Control #:
US-0237LR
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Word; 
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This form is a sample letter in Word format covering the subject matter of the title of the form.

Title: Missouri Sample Letter for Termination of Physician's Care — Patient to Physician Introduction: When a patient decides to terminate their relationship with a physician in Missouri, it is vital to communicate this decision formally and effectively. This article provides a detailed description of how to construct a Missouri sample letter for termination of physician's care, ensuring compliance with legal and ethical obligations. The following are different types of Missouri sample letters for terminating physician's care: 1. Missouri Sample Letter for Termination of Physician's Care — Patient Leaving the Area: [Patient's Name] [Patient's Address] [City, State, ZIP] [Date] [Physician's Name] [Physician's Address] [City, State, ZIP] Dear Dr. [Physician's Last Name], I hope this letter finds you well. I am writing to inform you that I will no longer be able to continue receiving medical care from your practice due to a recent decision to relocate from Missouri to [New Location]. As a result, it will be impractical for me to maintain a patient-physician relationship with you. I want to express my sincere gratitude for the exceptional care and support you have provided to me over the years. Your professionalism, knowledge, and dedication have made a significant difference in my health journey. I appreciate your understanding of my current circumstances and your assistance in facilitating the transfer of my medical records to my new healthcare provider. Please follow the necessary procedures to ensure a smooth transition. Once again, thank you for your commitment and the positive impact you have had on my well-being. It is unfortunate that I will no longer be your patient, but I trust that you will continue to provide excellent care to others. Wishing you continued success in your medical practice. Sincerely, [Patient's Full Name] [Patient's Contact Number] [Patient's Email Address] 2. Missouri Sample Letter for Termination of Physician's Care — Dissatisfaction or Incompatibility: This type of termination letter focuses on expressing dissatisfaction or incompatibility while respecting the patient's right to choose another medical provider. The general structure and content of the letter remain similar to the first example, with modifications to express the specific reasons for the termination. Remember to always maintain a respectful and courteous tone throughout the letter, avoiding overly negative or confrontational language. Conclusion: Crafting a well-structured and professional termination letter is crucial when ending a patient-physician relationship in Missouri. By addressing different scenarios, such as a patient relocating or expressing dissatisfaction, patients can effectively communicate their decision while ensuring a smooth transition of care. It is recommended to seek legal advice or refer to specific state regulations when drafting a Missouri sample letter for termination of physician's care.

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The discharge letter should be marked "personal/confidential" and mailed by certified mail, return receipt requested, to the patient's last known address. File a copy of the letter and the receipt in the patient's medical record. If the letter is returned unclaimed, mail it again.

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.

According to CMA's California Physician Legal Handbook, physicians can terminate a patient-physician relationship without cause.

The medical termination letter format should include a reason for the termination, the date of the termination, and the amount of time you will continue to provide care for the patient. Include supporting evidence for the decision, especially if the decision is based on the undesirable actions of the patient.

How to Write a Patient Termination Letter Due to Non-ComplianceGet straight to the point. Don't beat around the bush.Provide the reason(s) for the discharge.Give the patient a clear, dated deadline to find a new provider.Mention emergency care.Offer to transfer medical records.21-Feb-2019

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.

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 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.

When you decide to end your relationship with a patient, inform him or her in writing and send the letter by certified mail, with a return receipt requested. If it's possible to describe the reason for the termination in a brief, clear, objective way, do so in the letter.

Include something like:Respectfully,Respectfully yours,Sincerely,Best wishes,All the best,Warm regards,Consider to whom you're writing.Consider the purpose of the letter.More items...

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