Ohio 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: Patient's Termination of Physician's Care in Ohio — Sample Letter Keywords: Ohio, termination of physician's care, patient to physician, sample letter 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 effective immediately. While it certainly saddens me to reach this conclusion, I believe it is in my best interest to seek medical care from another physician who may better suit my needs at this time. I would like to express my sincere gratitude for the care and attention you have provided me during our time together. Your expertise, professionalism, and dedication have been instrumental in managing my health concerns, and I genuinely appreciate your efforts in improving my well-being. However, due to [specific reasons for termination, e.g., relocation, change in insurance coverage, lack of improvement in my condition], I have decided to pursue medical care from another physician in Ohio. This decision was not made lightly, and I want to assure you that it reflects my personal circumstances rather than any dissatisfaction with your capabilities as a physician. As a responsible patient, I understand the importance of providing proper notice and ensuring a smooth transition of my medical records. Therefore, I kindly request that you initiate the necessary steps to transfer my medical records to the physician I have selected. This includes but is not limited to: 1. Medical history and summaries 2. Diagnosis and treatment plans 3. Laboratory test results 4. Imaging reports (X-rays, MRIs, etc.) 5. Medication prescriptions and usage history 6. Immunization records 7. Surgical or procedural documentation 8. Referral and consultation records 9. Any other relevant documents pertaining to my medical care I am aware that there may be charges associated with copying, transferring, or retrieving my medical records. Please inform me of any fees involved, and I will handle them promptly. Moreover, I kindly request that you provide me with a copy of my medical records for personal reference. I believe having this information will facilitate a smoother transition into the care of my new physician and maintain continuity in my healthcare management. In closing, I would like to extend my sincerest thanks once again for the care you have provided me throughout our professional relationship. I genuinely value the time we spent together and the knowledge I gained under your guidance. While I may no longer be your patient, I will always be grateful for the positive impact you had on my health. Please acknowledge receipt of this termination letter in writing and inform me of any further instructions or documents required to complete the transfer of my medical records. I will ensure to provide my new physician's contact details to facilitate this process promptly. Thank you again for your understanding and cooperation. Wishing you continued success in your medical practice. Sincerely, [Patient's Full Name] [Patient's Date of Birth] [Patient's Address] [City, State, ZIP] [Patient's Contact Information] Types of Ohio Sample Letters for Termination of Physician's Care: 1. Ohio Sample Letter for Termination of Physician's Care — Relocation 2. Ohio Sample Letter for Termination of Physician's Care — Change in Insurance Coverage 3. Ohio Sample Letter for Termination of Physician's Care — Dissatisfaction with Care 4. Ohio Sample Letter for Termination of Physician's Care — Lack of Improvement in Condition 5. Ohio Sample Letter for Termination of Physician's Care — OtheReasonnnnnnnnnns.ns

Subject: Patient's Termination of Physician's Care in Ohio — Sample Letter Keywords: Ohio, termination of physician's care, patient to physician, sample letter 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 effective immediately. While it certainly saddens me to reach this conclusion, I believe it is in my best interest to seek medical care from another physician who may better suit my needs at this time. I would like to express my sincere gratitude for the care and attention you have provided me during our time together. Your expertise, professionalism, and dedication have been instrumental in managing my health concerns, and I genuinely appreciate your efforts in improving my well-being. However, due to [specific reasons for termination, e.g., relocation, change in insurance coverage, lack of improvement in my condition], I have decided to pursue medical care from another physician in Ohio. This decision was not made lightly, and I want to assure you that it reflects my personal circumstances rather than any dissatisfaction with your capabilities as a physician. As a responsible patient, I understand the importance of providing proper notice and ensuring a smooth transition of my medical records. Therefore, I kindly request that you initiate the necessary steps to transfer my medical records to the physician I have selected. This includes but is not limited to: 1. Medical history and summaries 2. Diagnosis and treatment plans 3. Laboratory test results 4. Imaging reports (X-rays, MRIs, etc.) 5. Medication prescriptions and usage history 6. Immunization records 7. Surgical or procedural documentation 8. Referral and consultation records 9. Any other relevant documents pertaining to my medical care I am aware that there may be charges associated with copying, transferring, or retrieving my medical records. Please inform me of any fees involved, and I will handle them promptly. Moreover, I kindly request that you provide me with a copy of my medical records for personal reference. I believe having this information will facilitate a smoother transition into the care of my new physician and maintain continuity in my healthcare management. In closing, I would like to extend my sincerest thanks once again for the care you have provided me throughout our professional relationship. I genuinely value the time we spent together and the knowledge I gained under your guidance. While I may no longer be your patient, I will always be grateful for the positive impact you had on my health. Please acknowledge receipt of this termination letter in writing and inform me of any further instructions or documents required to complete the transfer of my medical records. I will ensure to provide my new physician's contact details to facilitate this process promptly. Thank you again for your understanding and cooperation. Wishing you continued success in your medical practice. Sincerely, [Patient's Full Name] [Patient's Date of Birth] [Patient's Address] [City, State, ZIP] [Patient's Contact Information] Types of Ohio Sample Letters for Termination of Physician's Care: 1. Ohio Sample Letter for Termination of Physician's Care — Relocation 2. Ohio Sample Letter for Termination of Physician's Care — Change in Insurance Coverage 3. Ohio Sample Letter for Termination of Physician's Care — Dissatisfaction with Care 4. Ohio Sample Letter for Termination of Physician's Care — Lack of Improvement in Condition 5. Ohio Sample Letter for Termination of Physician's Care — OtheReasonnnnnnnnnns.ns