South Carolina 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: Termination of Physician's Care — Patient to Physician [South Carolina Sample Letter] Dear [Physician's Name], I hope this letter finds you well. After careful consideration and discussion with my family, I have made the difficult decision to terminate our physician-patient relationship with you, effective immediately [or specify a date if applicable]. I would like to provide you with a detailed explanation for this decision. Firstly, I would like to express my gratitude for the care and attention you have provided to me during our time together. Your medical expertise and professionalism have been commendable, and I appreciate your dedication to my well-being. However, due to personal circumstances and evolving healthcare needs, I feel it is necessary to seek alternative medical care. It is crucial for my future treatments to align with specific requirements or preferences that are not currently being met. While this decision was not made lightly, I firmly believe that pursuing a different healthcare provider is in my best interest. I want to assure you that this decision is not a reflection of any dissatisfaction with your medical expertise, clinical practice, or staff. I have always felt respected and valued under your care, and I appreciate the rapport we have established. As a South Carolina patient, I understand that terminating our physician-patient relationship requires proper documentation. I kindly request your assistance in providing me with the following documents: 1. Medical Records: I request a summary or copy of my medical records, including diagnoses, treatments, laboratory results, medications, allergies, and any other relevant information. Please advise on the procedure and any associated fees, if applicable. 2. Referral Recommendations: If you believe it would be beneficial for me to continue my care under another physician's guidance, I would appreciate your professional recommendations and referrals. To facilitate a smooth transition, I have already identified a new healthcare provider who aligns with my specific healthcare needs. Their contact information is as follows: [New Physician's Name] [Medical Practice Name] [Address] [City, State, ZIP] [Phone] [Email] I kindly request that you forward my medical records to the above-mentioned healthcare provider as soon as possible. Moreover, if there are any outstanding bills or insurance claims associated with my healthcare, please provide me with the necessary information or instructions to settle them promptly. I sincerely appreciate the care you have provided throughout our physician-patient relationship, and I want to thank you and your team for your devotion to my well-being. It is my hope that this transition will be smooth and respectful for both parties involved. Should you require any further information or have any questions regarding this matter, please do not hesitate to reach out to me at [phone number] or [email address]. Thank you once again for your understanding and cooperation. I wish you continued success in your medical practice. Sincerely, [Patient's Name] [Patient's Address] [City, State, ZIP] [Date]

Subject: Termination of Physician's Care — Patient to Physician [South Carolina Sample Letter] Dear [Physician's Name], I hope this letter finds you well. After careful consideration and discussion with my family, I have made the difficult decision to terminate our physician-patient relationship with you, effective immediately [or specify a date if applicable]. I would like to provide you with a detailed explanation for this decision. Firstly, I would like to express my gratitude for the care and attention you have provided to me during our time together. Your medical expertise and professionalism have been commendable, and I appreciate your dedication to my well-being. However, due to personal circumstances and evolving healthcare needs, I feel it is necessary to seek alternative medical care. It is crucial for my future treatments to align with specific requirements or preferences that are not currently being met. While this decision was not made lightly, I firmly believe that pursuing a different healthcare provider is in my best interest. I want to assure you that this decision is not a reflection of any dissatisfaction with your medical expertise, clinical practice, or staff. I have always felt respected and valued under your care, and I appreciate the rapport we have established. As a South Carolina patient, I understand that terminating our physician-patient relationship requires proper documentation. I kindly request your assistance in providing me with the following documents: 1. Medical Records: I request a summary or copy of my medical records, including diagnoses, treatments, laboratory results, medications, allergies, and any other relevant information. Please advise on the procedure and any associated fees, if applicable. 2. Referral Recommendations: If you believe it would be beneficial for me to continue my care under another physician's guidance, I would appreciate your professional recommendations and referrals. To facilitate a smooth transition, I have already identified a new healthcare provider who aligns with my specific healthcare needs. Their contact information is as follows: [New Physician's Name] [Medical Practice Name] [Address] [City, State, ZIP] [Phone] [Email] I kindly request that you forward my medical records to the above-mentioned healthcare provider as soon as possible. Moreover, if there are any outstanding bills or insurance claims associated with my healthcare, please provide me with the necessary information or instructions to settle them promptly. I sincerely appreciate the care you have provided throughout our physician-patient relationship, and I want to thank you and your team for your devotion to my well-being. It is my hope that this transition will be smooth and respectful for both parties involved. Should you require any further information or have any questions regarding this matter, please do not hesitate to reach out to me at [phone number] or [email address]. Thank you once again for your understanding and cooperation. I wish you continued success in your medical practice. Sincerely, [Patient's Name] [Patient's Address] [City, State, ZIP] [Date]