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Texas Sample Letter for Termination of Physician's Care - Patient to Physician

State:
Multi-State
Control #:
US-0237LR
Format:
Word; 
Rich Text
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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 about my decision to terminate our physician-patient relationship. I would like to express my sincere gratitude for the care and attention you have provided me with over the course of our association. However, after careful consideration and discussion with my family and friends, I have come to the conclusion that it is in my best interest to seek medical care elsewhere. This decision is not a reflection on the quality of your services or expertise, but rather a personal choice I have made. Please rest assured that this decision has been made after thorough research and consideration. I have weighed various factors, including proximity to my residence, personal preferences, and potential alternative treatment options. I believe it is crucial for me to explore other medical options in order to receive the most comprehensive and specialized care available to me. Furthermore, I kindly request that you assist me in this transition by providing all relevant medical records and any pertinent information that may be required for my future healthcare providers. Furthermore, I understand that there may be administrative procedures involved in transferring my records, and I would appreciate your prompt assistance in this matter. Furthermore, I would also like to highlight that I am deeply grateful for the compassionate care you have provided throughout our time together. Your dedication, expertise, and commitment to my well-being have not gone unnoticed, and I hold the utmost respect and admiration for you and your team. Should there be a need to discuss this decision further or if you require any additional information from me, please do not hesitate to contact me. I sincerely hope that you understand my decision and the reasons behind it. Thank you once again for the excellent care you have provided me with, and I wish you continued success in your practice. Sincerely, [Patient's Name]

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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)

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.

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.

When a physician-patient relationship must be terminated, the physician must carefully document the circumstances in the patient's medical record. This termination note should review the patient's previous medical treatment and the current state of the patient's health.

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.

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.

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Texas Sample Letter for Termination of Physician's Care - Patient to Physician