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

State:
Multi-State
Control #:
US-0236LR
Format:
Word; 
Rich Text
Instant download

Description

Sample Letter for Termination of Physician's Care - Physician to Patient [Your Name] [Your Title] [Medical Practice Name] [Address] [City, State, ZIP] [Date] [Patient's Name] [Patient's Address] [City, State, ZIP] Dear [Patient's Name], RE: Termination of Physician's Care I hope this letter finds you in good health. We value the physician-patient relationship and strive to provide the highest quality of care to our patients at [Medical Practice Name]. However, it is with regret that I must inform you that, after careful consideration, we have decided to terminate our physician-patient relationship effective [date]. We understand that this news may come as a surprise, and we want to assure you that this decision was not taken lightly. It is essential for us to explain the reasons behind this termination to facilitate a smooth transition of care and to ensure your ongoing healthcare needs are met appropriately. [Explain the reasons for termination in a clear and concise manner. Ensure you abide by the ethical and legal guidelines established by the New Mexico Medical Board and the American Medical Association. Some valid reasons for termination may include: 1. Non-compliance with prescribed treatment plans or failure to follow medical advice. 2. Violation of clinic policies or disruptive behavior that negatively impacts the practice and other patients. 3. Regular missed appointments or excessive cancellations without proper notice. 4. Inappropriate behavior or verbal abuse towards medical staff. 5. Consistently seeking unnecessary medical interventions or drug-seeking behavior. 6. Mutual agreement between the physician and the patient to discontinue care.] We understand that finding a new healthcare provider can be a challenging task. To assist you in this process, we recommend that you reach out to your insurance provider or use the resources provided by the New Mexico Medical Society to locate an appropriate physician who meets your specific healthcare needs. During the transition period, we will be available to provide you with copies of your medical records, should you choose to transfer them to your new physician. Please complete and sign the enclosed Authorization for Release of Medical Information form, and return it to our office as soon as possible. In the event of an emergency or urgent medical need before you find a new physician, we recommend that you seek medical attention at the nearest emergency department or urgent care center. If you have any questions or concerns regarding this termination, our staff members will be available to address them during our regular business hours at [contact number]. Please note that any prescription refills or medication-related inquiries should be directed to your new healthcare provider. Thank you for allowing us to be a part of your healthcare journey thus far. We genuinely regret having to make this decision and hope you can understand that it is in the best interest of both parties involved. We wish you the very best in your future healthcare endeavors. Sincerely, [Your Name] [Your Title] [Medical Practice Name]

[Your Name] [Your Title] [Medical Practice Name] [Address] [City, State, ZIP] [Date] [Patient's Name] [Patient's Address] [City, State, ZIP] Dear [Patient's Name], RE: Termination of Physician's Care I hope this letter finds you in good health. We value the physician-patient relationship and strive to provide the highest quality of care to our patients at [Medical Practice Name]. However, it is with regret that I must inform you that, after careful consideration, we have decided to terminate our physician-patient relationship effective [date]. We understand that this news may come as a surprise, and we want to assure you that this decision was not taken lightly. It is essential for us to explain the reasons behind this termination to facilitate a smooth transition of care and to ensure your ongoing healthcare needs are met appropriately. [Explain the reasons for termination in a clear and concise manner. Ensure you abide by the ethical and legal guidelines established by the New Mexico Medical Board and the American Medical Association. Some valid reasons for termination may include: 1. Non-compliance with prescribed treatment plans or failure to follow medical advice. 2. Violation of clinic policies or disruptive behavior that negatively impacts the practice and other patients. 3. Regular missed appointments or excessive cancellations without proper notice. 4. Inappropriate behavior or verbal abuse towards medical staff. 5. Consistently seeking unnecessary medical interventions or drug-seeking behavior. 6. Mutual agreement between the physician and the patient to discontinue care.] We understand that finding a new healthcare provider can be a challenging task. To assist you in this process, we recommend that you reach out to your insurance provider or use the resources provided by the New Mexico Medical Society to locate an appropriate physician who meets your specific healthcare needs. During the transition period, we will be available to provide you with copies of your medical records, should you choose to transfer them to your new physician. Please complete and sign the enclosed Authorization for Release of Medical Information form, and return it to our office as soon as possible. In the event of an emergency or urgent medical need before you find a new physician, we recommend that you seek medical attention at the nearest emergency department or urgent care center. If you have any questions or concerns regarding this termination, our staff members will be available to address them during our regular business hours at [contact number]. Please note that any prescription refills or medication-related inquiries should be directed to your new healthcare provider. Thank you for allowing us to be a part of your healthcare journey thus far. We genuinely regret having to make this decision and hope you can understand that it is in the best interest of both parties involved. We wish you the very best in your future healthcare endeavors. Sincerely, [Your Name] [Your Title] [Medical Practice Name]

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