[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Patient's Name] [Patient's Address] [City, State, ZIP] Dear [Patient's Name], RE: Termination of Physician's Care — Physician to Patient I hope this letter finds you in good health and high spirits. I am writing to inform you of an important matter regarding your healthcare. After careful consideration and evaluation of your medical needs, I have made the difficult decision to terminate our patient-physician relationship. This change will be effective as of [termination date, usually 30 days from the date of this letter]. I want to emphasize that this decision was not taken lightly, but rather as a result of a thorough assessment of the overall doctor-patient dynamics, your medical progress, and the professional resources available to address your specific needs. As healthcare providers, we are committed to delivering the highest standard of care to all patients, and unfortunately, in some cases, it becomes necessary to make adjustments to ensure optimal outcomes for patients. Please be assured that this termination is not a reflection of any personal bias or judgment towards you. Our priority has always been providing the best possible care, and a patient's medical needs are best served by a physician who can meet those needs more effectively in certain situations. Therefore, I would like to offer recommendations for alternative healthcare providers who may be better suited to address your specific concerns and ongoing medical treatment. Enclosed with this letter, you will find a list of reputable healthcare providers in the Nebraska area who have excellent track records and expertise in your current medical condition. I strongly encourage you to establish a new patient-physician relationship without delay to ensure continuous and uninterrupted care. If you require any assistance or have questions during this transition period, please do not hesitate to contact our office. We will be more than willing to assist you in any way possible to ensure a smooth transfer of your medical records and facilitate the transfer of care to your new healthcare provider. You have the right to request a copy of your medical records. If you wish to obtain them, please submit a signed request to our office, and we will provide you with the necessary documents as per state regulations and our internal policies. I sincerely apologize for any inconvenience this may cause you, and I genuinely appreciate the opportunity I had to provide medical care and support to you during our professional relationship. On behalf of our entire practice, I wish you the best of health and a successful future in your healthcare journey. Thank you for your understanding and cooperation. Sincerely, [Your Name] [Your Title/Medical Practice Name]
Nebraska Sample Letter for Termination of Physician's Care - Physician to Patient
Description
How to fill out Nebraska Sample Letter For Termination Of Physician's Care - Physician To Patient?
Finding the right legitimate file web template can be quite a battle. Needless to say, there are a variety of layouts accessible on the Internet, but how would you obtain the legitimate develop you will need? Utilize the US Legal Forms web site. The support delivers a huge number of layouts, such as the Nebraska Sample Letter for Termination of Physician's Care - Physician to Patient, that you can use for organization and personal requirements. All of the kinds are inspected by experts and meet state and federal specifications.
Should you be previously signed up, log in to your bank account and click on the Obtain button to get the Nebraska Sample Letter for Termination of Physician's Care - Physician to Patient. Make use of your bank account to check through the legitimate kinds you might have ordered formerly. Visit the My Forms tab of your bank account and have another version from the file you will need.
Should you be a whole new user of US Legal Forms, here are basic recommendations that you can adhere to:
- Very first, make sure you have chosen the right develop to your area/region. You are able to look over the shape utilizing the Review button and study the shape description to make certain it is the right one for you.
- If the develop is not going to meet your expectations, utilize the Seach industry to find the right develop.
- When you are sure that the shape would work, click the Get now button to get the develop.
- Pick the costs prepare you desire and enter in the needed information. Make your bank account and pay money for the transaction with your PayPal bank account or Visa or Mastercard.
- Opt for the file format and down load the legitimate file web template to your product.
- Complete, modify and print out and indication the attained Nebraska Sample Letter for Termination of Physician's Care - Physician to Patient.
US Legal Forms may be the largest catalogue of legitimate kinds where you will find different file layouts. Utilize the company to down load skillfully-produced paperwork that adhere to condition specifications.
Form popularity
FAQ
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.
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.
Sample Letter of Withdrawal from a Case Dear (PATIENT): I would like to take this opportunity to formally notify you that I will no longer be your physician because (REASON). Sample language for reason: You have consistently failed to follow my advice and recommendations.
Guidelines. The reasons physicians give for wanting to dismiss patients include patient noncompliance, failure to keep appointments, or rude behavior. When deciding whether to dismiss a patient the physician must consider the patient's medical status and needs.
The answer, to whether a doctor can fire you, for the most part, is yes. A doctor may choose to end your care if he desires to do so. Doctors, generally, are not required to take on a patient. And if a doctor no longer wants to treat a patient, he doesn't have to.
Refer the patient to his or her health insurance company's list of providers, county medical society, or a physician-referral service. Include an authorization for the release of the medical record. Advise the patient to designate the new physician, sign the form, and send it to your office.
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)
"From a malpractice and medical board standpoint, a physician can basically discharge a patient for any reason he wants, as long as it is nondiscriminatory and doesn't violate the Emergency Medical Treatment and Labor Act or other laws, or puts the patient's health, safety, and welfare at risk," says Kabler.
When the situation for dismissing the patient is appropriate, provide a formal written notice stating that you are withdrawing care and requiring the patient to find another practitioner. Mail the written notice to the patient by both first-class and certified mail with a return receipt requested.
According to CMA's California Physician Legal Handbook, physicians can terminate a patient-physician relationship without cause.
