New Jersey 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 in New Jersey Dear [Physician's Name], I hope this letter finds you well. I am writing to inform you of my decision to terminate our physician-patient relationship. This decision is not made lightly and is the result of careful consideration and consultation with other healthcare providers. First and foremost, I would like to express my gratitude for the care and attention you have provided to me during the course of our professional interaction. Your expertise and dedication have undoubtedly played an instrumental role in my journey towards better health. However, after careful evaluation and discussion with my primary care physician, I have decided to seek alternative medical care. This decision is based on the following reasons: 1. Change in My Medical Needs: Over time, my medical needs have evolved, and I require specialized care that aligns more closely with a different medical specialty or treatment approach. 2. Geographical Accessibility: Due to relocation or changes in personal circumstances, it has become impractical for me to continue receiving medical care at your clinic/hospital. This may include issues with distance, commute, transportation, or accessibility. 3. Second Opinion: In light of the complexity of my medical condition, it is crucial for me to receive a second opinion to ensure comprehensive and well-rounded care. I believe that seeking input from another healthcare professional will provide me with a fresh perspective and enhance my overall treatment plan. Please be assured that my decision to terminate our relationship is not a reflection of dissatisfaction with your services or any negative experience. I truly value the expertise and commitment you have demonstrated throughout my treatment. I kindly request that you facilitate the transfer of my medical records to the healthcare provider or facility I will be transitioning to. As per the Health Insurance Portability and Accountability Act (HIPAA), I understand that you are legally obligated to provide a copy of my medical records upon my written request. Please inform me of any necessary procedures or forms required to complete this process. Furthermore, I would appreciate any recommendations or referrals you may have regarding alternative healthcare providers who specialize in the area of care that I now require. Your professional insight and knowledge of the New Jersey healthcare system would be invaluable in my search for a suitable replacement for my medical needs. In conclusion, I want to express my sincere appreciation for the care and support you have provided me throughout our time together. I understand that the continuity of care is essential, and I will ensure that the transition is as seamless as possible. Thank you for your understanding in this matter. Yours sincerely, [Your Name] [Patient's contact information]

Subject: Termination of Physician's Care — Patient to Physician in New Jersey Dear [Physician's Name], I hope this letter finds you well. I am writing to inform you of my decision to terminate our physician-patient relationship. This decision is not made lightly and is the result of careful consideration and consultation with other healthcare providers. First and foremost, I would like to express my gratitude for the care and attention you have provided to me during the course of our professional interaction. Your expertise and dedication have undoubtedly played an instrumental role in my journey towards better health. However, after careful evaluation and discussion with my primary care physician, I have decided to seek alternative medical care. This decision is based on the following reasons: 1. Change in My Medical Needs: Over time, my medical needs have evolved, and I require specialized care that aligns more closely with a different medical specialty or treatment approach. 2. Geographical Accessibility: Due to relocation or changes in personal circumstances, it has become impractical for me to continue receiving medical care at your clinic/hospital. This may include issues with distance, commute, transportation, or accessibility. 3. Second Opinion: In light of the complexity of my medical condition, it is crucial for me to receive a second opinion to ensure comprehensive and well-rounded care. I believe that seeking input from another healthcare professional will provide me with a fresh perspective and enhance my overall treatment plan. Please be assured that my decision to terminate our relationship is not a reflection of dissatisfaction with your services or any negative experience. I truly value the expertise and commitment you have demonstrated throughout my treatment. I kindly request that you facilitate the transfer of my medical records to the healthcare provider or facility I will be transitioning to. As per the Health Insurance Portability and Accountability Act (HIPAA), I understand that you are legally obligated to provide a copy of my medical records upon my written request. Please inform me of any necessary procedures or forms required to complete this process. Furthermore, I would appreciate any recommendations or referrals you may have regarding alternative healthcare providers who specialize in the area of care that I now require. Your professional insight and knowledge of the New Jersey healthcare system would be invaluable in my search for a suitable replacement for my medical needs. In conclusion, I want to express my sincere appreciation for the care and support you have provided me throughout our time together. I understand that the continuity of care is essential, and I will ensure that the transition is as seamless as possible. Thank you for your understanding in this matter. Yours sincerely, [Your Name] [Patient's contact information]