This form is a sample letter in Word format covering the subject matter of the title of the form.
Title: Oregon Sample Letter for Termination of Physician's Care — Patient to Physician Keywords: Oregon, sample letter, termination, physician's care, patient, physician Introduction: In Oregon, patients have the right to terminate their relationship with their physician for various reasons. This article provides a detailed description of an Oregon sample letter for terminating physician's care. Whether the termination is due to a change in healthcare provider, dissatisfaction with treatment, or other personal reasons, patients can use this sample letter as a reference. 1. Sample Letter for Termination of Physician's Care — Patient to Physician: [Your Name] [Your Address] [City, State, ZIP Code] [Date] [Physician's Name] [Physician's Practice Name] [Address] [City, State, ZIP Code] 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 effective [preferred effective date, usually 30 days after the date of the letter, allowing for the proper transition of care]. [Provide a brief explanation of the reason(s) for terminating the physician's care, such as a change in healthcare provider, relocation, or dissatisfaction with treatment approaches. Be polite and respectful while expressing your decision.] I appreciate the care and attention you have provided to me during our time together. However, after careful consideration and discussion with my new healthcare provider, I have decided to proceed with their services for my medical needs. I kindly request that you forward all my medical records, including test results, imaging reports, and any other relevant documents, to my new healthcare provider at your earliest convenience. Please provide me with the necessary documents or forms required for the transfer process and specify any associated costs, if applicable. As my current physician, your expertise and knowledge have been valuable to me, and I want to express my gratitude for your professional care. I believe that our time together has contributed positively to my overall well-being. Thank you for your understanding and cooperation during this transition. Kindly confirm receipt of this letter, as well as your willingness to collaborate in the smooth transfer of my medical records. Wishing you continued success in your medical practice. Sincerely, [Your Name] [Phone Number] [Email Address] Types of Oregon Sample Letter for Termination of Physician's Care: 1. Termination due to Change in Healthcare Provider: This type of sample letter is used when a patient decides to switch to a different healthcare provider within the state of Oregon. It explains the reasons for changing providers and requests the transfer of medical records. 2. Termination due to Relocation: When a patient moves to a different location, such as outside Oregon, a sample letter for termination due to relocation is used. It notifies the physician of the patient's move, expresses appreciation for their care, and requests the transfer of medical records. 3. Termination due to Dissatisfaction with Treatment: Occasionally, patients may feel dissatisfied with the treatment or services provided by their physician. In such cases, a sample letter for termination due to dissatisfaction is used. It politely explains the reasons for terminating the relationship while emphasizing the patient's gratitude for the care received. Note: It is important to consult with legal professionals or healthcare administrators to ensure compliance with any specific regulations or requirements related to patient-physician termination in Oregon.
Title: Oregon Sample Letter for Termination of Physician's Care — Patient to Physician Keywords: Oregon, sample letter, termination, physician's care, patient, physician Introduction: In Oregon, patients have the right to terminate their relationship with their physician for various reasons. This article provides a detailed description of an Oregon sample letter for terminating physician's care. Whether the termination is due to a change in healthcare provider, dissatisfaction with treatment, or other personal reasons, patients can use this sample letter as a reference. 1. Sample Letter for Termination of Physician's Care — Patient to Physician: [Your Name] [Your Address] [City, State, ZIP Code] [Date] [Physician's Name] [Physician's Practice Name] [Address] [City, State, ZIP Code] 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 effective [preferred effective date, usually 30 days after the date of the letter, allowing for the proper transition of care]. [Provide a brief explanation of the reason(s) for terminating the physician's care, such as a change in healthcare provider, relocation, or dissatisfaction with treatment approaches. Be polite and respectful while expressing your decision.] I appreciate the care and attention you have provided to me during our time together. However, after careful consideration and discussion with my new healthcare provider, I have decided to proceed with their services for my medical needs. I kindly request that you forward all my medical records, including test results, imaging reports, and any other relevant documents, to my new healthcare provider at your earliest convenience. Please provide me with the necessary documents or forms required for the transfer process and specify any associated costs, if applicable. As my current physician, your expertise and knowledge have been valuable to me, and I want to express my gratitude for your professional care. I believe that our time together has contributed positively to my overall well-being. Thank you for your understanding and cooperation during this transition. Kindly confirm receipt of this letter, as well as your willingness to collaborate in the smooth transfer of my medical records. Wishing you continued success in your medical practice. Sincerely, [Your Name] [Phone Number] [Email Address] Types of Oregon Sample Letter for Termination of Physician's Care: 1. Termination due to Change in Healthcare Provider: This type of sample letter is used when a patient decides to switch to a different healthcare provider within the state of Oregon. It explains the reasons for changing providers and requests the transfer of medical records. 2. Termination due to Relocation: When a patient moves to a different location, such as outside Oregon, a sample letter for termination due to relocation is used. It notifies the physician of the patient's move, expresses appreciation for their care, and requests the transfer of medical records. 3. Termination due to Dissatisfaction with Treatment: Occasionally, patients may feel dissatisfied with the treatment or services provided by their physician. In such cases, a sample letter for termination due to dissatisfaction is used. It politely explains the reasons for terminating the relationship while emphasizing the patient's gratitude for the care received. Note: It is important to consult with legal professionals or healthcare administrators to ensure compliance with any specific regulations or requirements related to patient-physician termination in Oregon.