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

State:
Multi-State
Control #:
US-0236LR
Format:
Word; 
Rich Text
Instant download

Description

Sample Letter for Termination of Physician's Care - Physician to Patient Sample Letter for Termination of Physician's Care — Physician to Patient: [Your Name] [Your Address] [City, State, ZIP] [Date] [Patient's Name] [Patient's Address] [City, State, ZIP] Dear [Patient's Name], I hope this letter finds you in good health. I am writing to inform you that after careful consideration, I have made the difficult decision to terminate our physician-patient relationship. This decision is based on various factors and is made in accordance with my professional judgment. As a physician, it is my utmost responsibility to ensure the provision of the highest quality care to all my patients. Over the course of our relationship, I have strived to provide you with comprehensive and compassionate medical care. However, despite my best efforts, I believe that it is no longer in your best interest to continue under my care. Please understand that the termination of our physician-patient relationship does not reflect any form of personal judgment or lack of concern for your well-being. It is simply a professional decision that I have reached based on the following reasons: 1. [Specify the reason for termination — e.g., lack of compliance with treatment plan, consistent missed appointments, failure to provide necessary medical information, etc.] 2. [Add another reason, if applicable] 3. [Include any additional reasons, if necessary] In light of this decision, it is important that you promptly seek alternative medical care. Ensuring continuity of care is crucial, and I recommend that you contact your insurance provider or a trusted healthcare professional to assist you in finding a suitable replacement physician. To facilitate a smooth transition, I will provide you with a copy of your medical records upon your written consent. Please fill out the enclosed Release of Medical Records form and return it to our office at your earliest convenience. Once we receive your request, we will promptly forward your medical records to your new healthcare provider. I understand that this news may come as a surprise or disappointment to you. If you wish to discuss this decision or have any questions, I am available to schedule a brief appointment to address them before your termination becomes effective. Please contact our office at [phone number] to schedule a time convenient for you. Thank you for the privilege of being your physician, and I sincerely hope that you will find suitable medical care and experience improved health outcomes. If you need any further assistance or have any concerns during this transition, please do not hesitate to reach out. Wishing you all the best for your future healthcare endeavors. Sincerely, [Your Name] [Your Title] [Your Contact Information] Keywords: Utah, termination of physician's care, letter, healthcare, physician-patient relationship, patient's well-being, alternative medical care, medical records, compliance, missed appointments, treatment plan, release of medical records form.

Sample Letter for Termination of Physician's Care — Physician to Patient: [Your Name] [Your Address] [City, State, ZIP] [Date] [Patient's Name] [Patient's Address] [City, State, ZIP] Dear [Patient's Name], I hope this letter finds you in good health. I am writing to inform you that after careful consideration, I have made the difficult decision to terminate our physician-patient relationship. This decision is based on various factors and is made in accordance with my professional judgment. As a physician, it is my utmost responsibility to ensure the provision of the highest quality care to all my patients. Over the course of our relationship, I have strived to provide you with comprehensive and compassionate medical care. However, despite my best efforts, I believe that it is no longer in your best interest to continue under my care. Please understand that the termination of our physician-patient relationship does not reflect any form of personal judgment or lack of concern for your well-being. It is simply a professional decision that I have reached based on the following reasons: 1. [Specify the reason for termination — e.g., lack of compliance with treatment plan, consistent missed appointments, failure to provide necessary medical information, etc.] 2. [Add another reason, if applicable] 3. [Include any additional reasons, if necessary] In light of this decision, it is important that you promptly seek alternative medical care. Ensuring continuity of care is crucial, and I recommend that you contact your insurance provider or a trusted healthcare professional to assist you in finding a suitable replacement physician. To facilitate a smooth transition, I will provide you with a copy of your medical records upon your written consent. Please fill out the enclosed Release of Medical Records form and return it to our office at your earliest convenience. Once we receive your request, we will promptly forward your medical records to your new healthcare provider. I understand that this news may come as a surprise or disappointment to you. If you wish to discuss this decision or have any questions, I am available to schedule a brief appointment to address them before your termination becomes effective. Please contact our office at [phone number] to schedule a time convenient for you. Thank you for the privilege of being your physician, and I sincerely hope that you will find suitable medical care and experience improved health outcomes. If you need any further assistance or have any concerns during this transition, please do not hesitate to reach out. Wishing you all the best for your future healthcare endeavors. Sincerely, [Your Name] [Your Title] [Your Contact Information] Keywords: Utah, termination of physician's care, letter, healthcare, physician-patient relationship, patient's well-being, alternative medical care, medical records, compliance, missed appointments, treatment plan, release of medical records form.

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