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

• Category: Letters - Nonlegal - Termination
• State: Multi-State
• Control #: US-0237LR
• Format: Word; Rich Text

Description

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 [Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [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 of my decision to terminate our physician-patient relationship. It is important to me to express my gratitude for the medical services you have provided thus far and to provide an explanation for my decision. As a patient, I believe it is crucial to have a relationship with a physician that is built on trust, effective communication, and mutual respect. Over the past months/years, there have been certain aspects of our physician-patient relationship that have given me cause for concern. Despite my attempts to address these issues directly with you, they have remained unresolved, leading me to believe that it is in my best interest to seek care from another healthcare provider. It is essential to note that this decision is not a reflection of your medical capabilities or expertise. As a physician, I appreciate your knowledge, skills, and dedication to your profession. However, effective patient care is also dependent on a strong doctor-patient alliance, which regrettably has not been established to my satisfaction. To ensure continuity of care, I have already begun seeking the services of another healthcare provider, who I believe will better meet my needs. I will be requesting the necessary documents from your office to facilitate the transfer of my medical records to my new physician. Please let me know the process involved in obtaining these records and if any fees apply. I kindly request that you provide confirmation of my termination as your patient in writing. This will help prevent any misunderstandings and ensure a smooth transition of care. Furthermore, I would appreciate it if you could provide me with any relevant guidelines to follow during this transition period. While I understand the importance of a patient's compliance with medical recommendations, I kindly request that you refrain from scheduling any further appointments for me or issuing any prescriptions beyond the termination date stated in this letter. I will discuss any ongoing medical needs with my new physician. Thank you for your attention to this matter. I sincerely appreciate the care you have provided me thus far. However, after careful consideration of my healthcare needs, I believe this decision is in my best interest. I wish you continued success in your medical practice and hope that our paths may cross under different circumstances in the future. Should you have any questions regarding this matter, please do not hesitate to contact me at your convenience. Sincerely, [Your Name]

Subject: Termination of Physician's Care — Patient to Physician [Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [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 of my decision to terminate our physician-patient relationship. It is important to me to express my gratitude for the medical services you have provided thus far and to provide an explanation for my decision. As a patient, I believe it is crucial to have a relationship with a physician that is built on trust, effective communication, and mutual respect. Over the past months/years, there have been certain aspects of our physician-patient relationship that have given me cause for concern. Despite my attempts to address these issues directly with you, they have remained unresolved, leading me to believe that it is in my best interest to seek care from another healthcare provider. It is essential to note that this decision is not a reflection of your medical capabilities or expertise. As a physician, I appreciate your knowledge, skills, and dedication to your profession. However, effective patient care is also dependent on a strong doctor-patient alliance, which regrettably has not been established to my satisfaction. To ensure continuity of care, I have already begun seeking the services of another healthcare provider, who I believe will better meet my needs. I will be requesting the necessary documents from your office to facilitate the transfer of my medical records to my new physician. Please let me know the process involved in obtaining these records and if any fees apply. I kindly request that you provide confirmation of my termination as your patient in writing. This will help prevent any misunderstandings and ensure a smooth transition of care. Furthermore, I would appreciate it if you could provide me with any relevant guidelines to follow during this transition period. While I understand the importance of a patient's compliance with medical recommendations, I kindly request that you refrain from scheduling any further appointments for me or issuing any prescriptions beyond the termination date stated in this letter. I will discuss any ongoing medical needs with my new physician. Thank you for your attention to this matter. I sincerely appreciate the care you have provided me thus far. However, after careful consideration of my healthcare needs, I believe this decision is in my best interest. I wish you continued success in your medical practice and hope that our paths may cross under different circumstances in the future. Should you have any questions regarding this matter, please do not hesitate to contact me at your convenience. Sincerely, [Your Name]