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

State:
Multi-State
Control #:
US-0237LR
Format:
Word; 
Rich Text
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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]

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FAQ

When a physician decides to dismiss a patient, the patient should be notified in writing. The letter should be printed on office letterhead and sent by first-class mail and by certified mail with a return receipt requested.

This letter is to advise you that I will no longer be available to provide medical services to you after (FUTURE DATE ALLOWING PATIENT REASONABLE TIME TO FIND ANOTHER PHYSICIAN). I will be available to treat you until (DATE FROM ABOVE), so that you will have access to care while you choose another physician.

How Can I End the Patient/Physician Relationship? You can end the patient/physician relationship by explicitly telling your doctor that you no longer want to be treated by him or her.

Proper termination requires the following points:Reasonable notice. The length of appropriate notice may depend on the patient's condition and available psychiatric resources in the community.Treatment recommendations and education.Resources for treatment.Records and information.Follow-up letter.

The physician terminates the physician-patient relationship by notifying the patient in writing of withdrawal from care after a specific time which is stated in the letter. The patient is also given information necessary to obtain their medical records or transfer to another provider.

You can call your doctor, write a note, or let her know at the end of an appointment. Be honest but constructive. If your calls never make it past the receptionist, let her know that. If you need more specialized care, ask for a referral.

The letter can suggest that the patient refer to their managed care organization or respective insurance carrier to obtain the names of physicians who could provide care. If a patient is enrolled in a managed care organization, the managed care organization must also be notified of the termination.

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)

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)

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