This form is a sample letter in Word format covering the subject matter of the title of the form.
Dear [Physician's name], I hope this letter finds you well. I am writing to inform you that after careful consideration and discussion with my family, I have decided to terminate our physician-patient relationship. This decision has not been easy for me, as I have been under your care for [duration]. However, I believe it is in my best interest to seek medical treatment elsewhere. I would like to express my sincere appreciation for the care and attention you have provided me during our time together. Your expertise and dedication have been invaluable, and I am grateful for the improvements I have experienced under your guidance. While I acknowledge the quality of your medical services, there are several reasons that have prompted my decision to seek a different healthcare provider. Firstly, [provide a brief explanation of the reason(s) such as lack of communication, not feeling heard, or a difference in medical philosophy]. I believe that effective communication and a strong patient-physician relationship are essential for optimal healthcare outcomes, and unfortunately, I feel that this may not be achievable in our current arrangement. Furthermore, I have recently relocated to a different area of Puerto Rico, making it inconvenient to continue visiting your practice. Given the distance and potential challenges associated with travel, it seems more practical to find a physician closer to my new residence. Additionally, I have received recommendations from trusted friends and family members regarding healthcare providers in my new locality, which has also contributed to my decision. I want to assure you that this termination is not a reflection of your abilities or the quality of your medical practice. It is simply a personal decision based on my current circumstances and desire for a more convenient and communicative patient-physician relationship. I trust that you understand my perspective and respect my choice. Please provide me with the necessary steps for transferring my medical records to my new healthcare provider. Also, if there are any pending appointments or follow-up visits, please let me know, so we can arrange for adequate continuity of care during this transition period. Once again, I would like to express my gratitude for the care you have provided me thus far. Your professionalism and expertise have been remarkable, and I am confident that you will continue to positively impact the lives of many patients in Puerto Rico. Thank you for your understanding and cooperation during this process. Should you have any questions or require any further information, please do not hesitate to contact me. Wishing you continued success and well-being. Sincerely, [Your Name] [Patient's Address] [City, State, ZIP] [Phone number] [Email address]
Dear [Physician's name], I hope this letter finds you well. I am writing to inform you that after careful consideration and discussion with my family, I have decided to terminate our physician-patient relationship. This decision has not been easy for me, as I have been under your care for [duration]. However, I believe it is in my best interest to seek medical treatment elsewhere. I would like to express my sincere appreciation for the care and attention you have provided me during our time together. Your expertise and dedication have been invaluable, and I am grateful for the improvements I have experienced under your guidance. While I acknowledge the quality of your medical services, there are several reasons that have prompted my decision to seek a different healthcare provider. Firstly, [provide a brief explanation of the reason(s) such as lack of communication, not feeling heard, or a difference in medical philosophy]. I believe that effective communication and a strong patient-physician relationship are essential for optimal healthcare outcomes, and unfortunately, I feel that this may not be achievable in our current arrangement. Furthermore, I have recently relocated to a different area of Puerto Rico, making it inconvenient to continue visiting your practice. Given the distance and potential challenges associated with travel, it seems more practical to find a physician closer to my new residence. Additionally, I have received recommendations from trusted friends and family members regarding healthcare providers in my new locality, which has also contributed to my decision. I want to assure you that this termination is not a reflection of your abilities or the quality of your medical practice. It is simply a personal decision based on my current circumstances and desire for a more convenient and communicative patient-physician relationship. I trust that you understand my perspective and respect my choice. Please provide me with the necessary steps for transferring my medical records to my new healthcare provider. Also, if there are any pending appointments or follow-up visits, please let me know, so we can arrange for adequate continuity of care during this transition period. Once again, I would like to express my gratitude for the care you have provided me thus far. Your professionalism and expertise have been remarkable, and I am confident that you will continue to positively impact the lives of many patients in Puerto Rico. Thank you for your understanding and cooperation during this process. Should you have any questions or require any further information, please do not hesitate to contact me. Wishing you continued success and well-being. Sincerely, [Your Name] [Patient's Address] [City, State, ZIP] [Phone number] [Email address]