Utah 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. 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]

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]