This form is a sample letter in Word format covering the subject matter of the title of the form.
Subject: Termination of Physician's Care — Patient to Physician Dear [Physician's Name], I hope this letter finds you well. First and foremost, I would like to express my gratitude for the care and attention you have provided to me as your patient over the past [duration] years. However, after careful consideration and discussions with other medical professionals, I have made the difficult decision to terminate my care under your supervision. North Carolina law allows patients the right to choose their healthcare provider, and as a patient, I believe it is crucial to have a physician with whom I have complete trust and confidence. As such, I have decided to seek a new physician who aligns more closely with my current healthcare needs, preferences, and personal circumstances. I would like to emphasize that this decision is not a reflection of any dissatisfaction with your medical expertise or the quality of care provided by your esteemed practice. Rather, it is solely a matter of personal choice, based on my unique circumstances and the need for a fresh perspective on my healthcare management. I understand the importance of continuity of care, and I assure you that I have already taken the necessary steps to ensure a smooth transition between physicians. I have secured the services of a new physician, Dr. [New Physician's Name], who is highly recommended by my trusted healthcare network. In order to facilitate a seamless transfer of pertinent medical records and information, I kindly request that you please provide me with a copy of my complete medical records, including diagnostic test results, notes from consultations, and any other relevant information. I understand that this may incur a reasonable fee for the copies, and I am prepared to cover the associated costs. I urge you to kindly initiate the process of transferring my medical records as soon as possible to avoid any disruption in my healthcare. Please provide the records directly to me or to Dr. [New Physician's Name] at their practice address mentioned below: [New Physician's Name] [Practice Name] [Practice Address] [City, State, Zip Code] Alternatively, if there is a preferred method or format for transferring medical records, kindly inform me so that I may fulfill the necessary requirements promptly. I would like to take this opportunity to thank you once again for the care and attention I have received under your guidance. I am grateful for the positive impact you have had on my health and well-being. Your professionalism, dedication, and expertise have been greatly appreciated throughout our doctor-patient relationship. Should future circumstances change, I will not hesitate to reach out and re-establish a doctor-patient relationship with you. Until then, I wish you continued success in your medical practice and the well-being of all your patients. Thank you for your understanding and cooperation. Sincerely, [Your Full Name] [Your Contact Information]
Subject: Termination of Physician's Care — Patient to Physician Dear [Physician's Name], I hope this letter finds you well. First and foremost, I would like to express my gratitude for the care and attention you have provided to me as your patient over the past [duration] years. However, after careful consideration and discussions with other medical professionals, I have made the difficult decision to terminate my care under your supervision. North Carolina law allows patients the right to choose their healthcare provider, and as a patient, I believe it is crucial to have a physician with whom I have complete trust and confidence. As such, I have decided to seek a new physician who aligns more closely with my current healthcare needs, preferences, and personal circumstances. I would like to emphasize that this decision is not a reflection of any dissatisfaction with your medical expertise or the quality of care provided by your esteemed practice. Rather, it is solely a matter of personal choice, based on my unique circumstances and the need for a fresh perspective on my healthcare management. I understand the importance of continuity of care, and I assure you that I have already taken the necessary steps to ensure a smooth transition between physicians. I have secured the services of a new physician, Dr. [New Physician's Name], who is highly recommended by my trusted healthcare network. In order to facilitate a seamless transfer of pertinent medical records and information, I kindly request that you please provide me with a copy of my complete medical records, including diagnostic test results, notes from consultations, and any other relevant information. I understand that this may incur a reasonable fee for the copies, and I am prepared to cover the associated costs. I urge you to kindly initiate the process of transferring my medical records as soon as possible to avoid any disruption in my healthcare. Please provide the records directly to me or to Dr. [New Physician's Name] at their practice address mentioned below: [New Physician's Name] [Practice Name] [Practice Address] [City, State, Zip Code] Alternatively, if there is a preferred method or format for transferring medical records, kindly inform me so that I may fulfill the necessary requirements promptly. I would like to take this opportunity to thank you once again for the care and attention I have received under your guidance. I am grateful for the positive impact you have had on my health and well-being. Your professionalism, dedication, and expertise have been greatly appreciated throughout our doctor-patient relationship. Should future circumstances change, I will not hesitate to reach out and re-establish a doctor-patient relationship with you. Until then, I wish you continued success in your medical practice and the well-being of all your patients. Thank you for your understanding and cooperation. Sincerely, [Your Full Name] [Your Contact Information]