• US Legal Forms

Physician Patient Termination Letter Sample

State:
Multi-State
Control #:
US-0237LR
Format:
Word; 
Rich Text
Instant download

Description

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 of my decision to terminate our professional relationship as my physician, effective immediately. It is important for me to express my reasons for this decision, as I believe open communication is crucial in any healthcare setting. Firstly, I would like to acknowledge the level of care and support you have provided me with throughout our time together. Your dedication and expertise have been valuable in managing my health condition, and I am grateful for your commitment towards my well-being. However, after careful consideration and consultation with other healthcare professionals, I have decided to seek alternative medical treatment options. This decision is not a reflection of your capabilities as a physician but rather stems from a desire to explore different approaches to address my specific health concerns. While I appreciate your approach and the treatments you have recommended thus far, I believe it is necessary for me to explore other medical perspectives and options that may align better with my personal goals and preferences. I am hopeful that a fresh perspective will lead to new insights and potential breakthroughs in managing my condition. Please be assured that my decision to terminate our professional relationship is solely based on my personal medical choices and does not reflect any dissatisfaction or negative experiences with the care you have provided. I am grateful for the time you have dedicated to my healthcare and the guidance you have offered me along the way. As I transition to a new healthcare provider, I kindly request that you assist me in facilitating a smooth transfer of my medical records. I would appreciate it if you could prepare a summary of my medical history, including diagnoses, treatments, medications, and any other relevant information. It is important for my new physician to have accurate and comprehensive records to ensure continuity of care. I will be contacting your office in the coming days to arrange for the collection of these medical records. If there are any specific procedures or paperwork required, please let me know so that I can ensure a swift and efficient transfer. In closing, I want to express my sincerest gratitude for your care and dedication to my health. I believe this decision is in the best interest of my overall well-being and future healthcare journey. I wish you continued success in your medical practice and hope that our paths may cross again in the future. Thank you for your understanding and support. Sincerely, [Patient's Name] [Patient's Contact Information]

How to fill out Utah Sample Letter For Termination Of Physician's Care - Patient To Physician?

Selecting the most suitable legitimate document template may be challenging. Naturally, there are numerous layouts obtainable online, but how can you find the authentic form you need.

Utilize the US Legal Forms website. The service offers thousands of layouts, such as the Utah Sample Letter for Termination of Physician's Care - Patient to Physician, which you can use for business and personal requirements. All documents are vetted by experts and comply with state and federal regulations.

If you are already registered, Log In to your account and click the Obtain option to receive the Utah Sample Letter for Termination of Physician's Care - Patient to Physician. Use your account to browse through the legitimate forms you may have purchased previously. Go to the My documents tab of your account and obtain another copy of the document you need.

Choose the file format and download the legitimate document template for your needs. Complete, modify, print, and sign the received Utah Sample Letter for Termination of Physician's Care - Patient to Physician. US Legal Forms remains the largest repository of legitimate forms where you can find various document layouts. Take advantage of the service to obtain professionally drafted paperwork that adheres to state specifications.

  1. First, ensure that you have selected the appropriate form for your city/state.
  2. You can review the document using the Preview option and read the form description to confirm this is the correct one for you.
  3. If the form does not meet your requirements, use the Search field to find the right form.
  4. Once you are sure the form is suitable, click the Get now option to acquire the form.
  5. Select the payment plan you prefer and submit the required information.
  6. Create your account and pay for your order with your PayPal account or credit card.

Form popularity

FAQ

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.

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.

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.

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.

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.

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)

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)

Interesting Questions

More info

Facilitate the identification of medical homes and treating physiciansnationally recognized model policy for standards of care of a patient who is at a ...63 pages facilitate the identification of medical homes and treating physiciansnationally recognized model policy for standards of care of a patient who is at a ... By J Thomas · 2009 · Cited by 111 ? It is very important for the treating doctor to properly document the management of a patient under his care. Medical record keeping has evolved into a ...These forms have been developed from a variety of sources, including ACP members, for use in your practice. There are forms for patient charts, logs, ... 01-Jul-2019 ? In addition, notice of termination isn't necessary if the patient's care has been formally transferred to another physician who's not within ... To put it bluntly, there is an almost complete lack of understanding of how much it costs to deliver patient care, much less how those costs compare with the ... You're either a student considering a career in medicine or a patientDO physicians tend to be primary care physicians, whereas U.S.M.D.'s tend to ... Credentialing Guidelines for Family Medicine Physicians Providing ObstetricalIf a patient presents as a Health Choice Utah member, but has lost. Please use this form to tell Aetna about terminations of medical, behavioral health, dental and mid-level practitioner providers that leave a practice for ... 08-Dec-2021 ? For his end-of-term paper in Sociology of Health and Medicine, Carlos wrote about the difficulties that physicians face when serving low income ... By C Wang · 2003 · Cited by 373 ? underlying medical causes to help their patients drive safely as long as possible. To achieve this end, primary care physicians can follow the algorithm,.

Claim Management Leadership Annual Reports History Advocacy Endorsements About TILT National Coverage Claim Management Leadership Annual Reports History Advocacy Endorsements Careers COVID-18 TILT Medical Liability Insurance COVID-19 A.R.M.E.

Trusted and secure by over 3 million people of the world’s leading companies

Physician Patient Termination Letter Sample