[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], Subject: Termination of Physician's Care — Patient to Physician I hope this letter finds you well. I am writing to formally terminate our physician-patient relationship effective immediately. After careful consideration and consultation with another healthcare provider, I have decided to seek medical care elsewhere. I believe this decision is in my best interest and will allow me to receive the necessary care to address my health concerns. Please note that this termination is not a result of any negative experiences or issues with your care. On the contrary, I appreciate the medical attention and support you have provided to me during our time together. However, my current circumstances require me to explore alternative options for my healthcare needs. I would like to request that you provide me with a copy of my medical records, including all test results, treatment plans, and consultations, promptly. Kindly forward these records to me at the address mentioned above or provide instructions for obtaining them. In addition, if you have any specific recommendations or referrals for other healthcare providers who may be suitable given my medical history and conditions, I would greatly appreciate your guidance. Your professional opinion in this matter would be of significant value to me as I begin my new journey with a different physician. As per my understanding of state and federal regulations, it is my right to request the transfer of my medical records. If there are any associated fees for this service, please inform me in advance. I would like to express my gratitude for the quality care you have provided throughout our professional relationship. Your expertise, compassion, and dedication to my well-being have truly made a positive impact on my life. I hold great respect for your medical knowledge and skills. Should you have any questions or require further information from me regarding this matter, please do not hesitate to contact me via the provided contact details. Thank you for your attention to this matter, and I wish you continued success in your practice. Sincerely, [Your Full Name] Keywords: patient, termination, physician's care, termination letter, healthcare, medical records, alternative healthcare provider, medical history, state regulations, federal regulations, transfer of medical records.
North Dakota Sample Letter for Termination of Physician's Care - Patient to Physician
Description
How to fill out North Dakota Sample Letter For Termination Of Physician's Care - Patient To Physician?
Are you in the position in which you need documents for either organization or personal purposes nearly every working day? There are plenty of lawful file templates accessible on the Internet, but locating versions you can depend on isn`t simple. US Legal Forms gives thousands of develop templates, much like the North Dakota Sample Letter for Termination of Physician's Care - Patient to Physician, that are written to satisfy federal and state needs.
If you are currently knowledgeable about US Legal Forms internet site and get a free account, simply log in. Following that, you can download the North Dakota Sample Letter for Termination of Physician's Care - Patient to Physician web template.
Should you not offer an accounts and would like to begin using US Legal Forms, abide by these steps:
- Discover the develop you need and ensure it is for your proper city/area.
- Take advantage of the Preview switch to review the form.
- Read the outline to actually have chosen the proper develop.
- In the event the develop isn`t what you`re trying to find, utilize the Research field to get the develop that meets your requirements and needs.
- If you obtain the proper develop, simply click Buy now.
- Pick the rates plan you would like, fill out the necessary information to produce your bank account, and purchase the transaction making use of your PayPal or bank card.
- Choose a hassle-free document format and download your backup.
Discover every one of the file templates you may have purchased in the My Forms food list. You can aquire a more backup of North Dakota Sample Letter for Termination of Physician's Care - Patient to Physician at any time, if possible. Just click on the required develop to download or print out the file web template.
Use US Legal Forms, probably the most substantial collection of lawful forms, to save time and stay away from mistakes. The assistance gives skillfully produced lawful file templates that can be used for an array of purposes. Produce a free account on US Legal Forms and start creating your lifestyle easier.
