Missouri 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.

How to fill out Sample Letter For Termination Of Physician's Care - Patient To Physician?

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FAQ

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