[Your Name] [Your Address] [City, State, Zip] [Email Address] [Phone Number] [Date] [Physician's Name] [Physician's Address] [City, State, Zip] Dear Dr. [Physician's Last Name], I am writing to inform you that I have made the difficult decision to terminate our physician-patient relationship effective immediately. While this decision comes with careful consideration, I feel it is in my best interest to seek medical care elsewhere. I would like to express my gratitude for the care you have provided me during our time together. However, I believe it is time for me to explore other options and discover a physician who may better suit my needs and personal preferences. I kindly request that you prepare my medical records and any relevant documents for transfer to my new healthcare provider. Please ensure that this transfer is completed promptly, as it is crucial for the continuity of my medical care. I would appreciate it if you could forward the records directly to [new physician's name and address] at your earliest convenience. To ease the transition process, I kindly ask for your assistance in providing any necessary prescriptions or referrals that may be required during this interim period until I establish care with my new physician. I acknowledge that any financial obligations resulting from the termination of our relationship will be properly settled. Please inform me of any outstanding bills or administrative procedures that need to be addressed. Again, I genuinely appreciate the medical care provided by you and your staff. Although I have chosen to pursue a different physician-patient relationship, I respect your expertise and dedication to your patients. Should circumstances change in the future, I will not hesitate to consider returning to your care. Thank you for your understanding and assistance in facilitating this transition. I wish you continued success in your practice. Sincerely, [Your Name]
South Dakota Sample Letter for Termination of Physician's Care - Patient to Physician
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How to fill out South Dakota Sample Letter For Termination Of Physician's Care - Patient To Physician?
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FAQ
In general, the physician-patient relationship can be terminated in two ways without creating liability for abandonment: 1) the physician ends the relationship after giving the patient notice, a reasonable opportunity to find substitute care and the information necessary to obtain the patient's medical records, or 2)
How Can I End the Patient/Physician Relationship? You can end the patient/physician relationship by explicitly telling your doctor that you no longer want to be treated by him or her.
When a physician decides to dismiss a patient, the patient should be notified in writing. The letter should be printed on office letterhead and sent by first-class mail and by certified mail with a return receipt requested.
This letter is to advise you that I will no longer be available to provide medical services to you after (FUTURE DATE ALLOWING PATIENT REASONABLE TIME TO FIND ANOTHER PHYSICIAN). I will be available to treat you until (DATE FROM ABOVE), so that you will have access to care while you choose another physician.
Proper termination requires the following points:Reasonable notice. The length of appropriate notice may depend on the patient's condition and available psychiatric resources in the community.Treatment recommendations and education.Resources for treatment.Records and information.Follow-up letter.
The physician terminates the physician-patient relationship by notifying the patient in writing of withdrawal from care after a specific time which is stated in the letter. The patient is also given information necessary to obtain their medical records or transfer to another provider.
In general, the physician-patient relationship can be terminated in two ways without creating liability for abandonment: 1) the physician ends the relationship after giving the patient notice, a reasonable opportunity to find substitute care and the information necessary to obtain the patient's medical records, or 2)
You can call your doctor, write a note, or let her know at the end of an appointment. Be honest but constructive. If your calls never make it past the receptionist, let her know that. If you need more specialized care, ask for a referral.
