Virginia 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.

A Virginia Sample Letter for Termination of Physician's Care is a document used by patients in the state of Virginia to formally end their relationship with a physician. This letter serves as a written notice informing the physician of the patient's decision to seek medical care elsewhere or discontinue treatment altogether. It is essential to include specific details and follow proper procedures while drafting this letter, ensuring it complies with the laws and regulations of Virginia. Here is an example of a Virginia Sample Letter for Termination of Physician's Care — Patient to Physician: [Patient's Name] [Patient's Address] [City, State, ZIP Code] [Date] [Physician's Name] [Physician's Address] [City, State, ZIP Code] Dear Dr. [Physician's Last Name], I hope this letter finds you well. I am writing to inform you of my decision to terminate my care under your medical supervision effective immediately. After careful consideration, I have decided to seek medical services from another physician. While I sincerely appreciate the care and attention you have provided me thus far, recent changes in my healthcare requirements warrant a different approach. [Alternatively, you may state specific reasons for termination, such as moving to a different city, dissatisfaction with treatment methods or outcomes, or changing insurance plans.] To facilitate the transition process and ensure continuity of care, I kindly request that you forward my complete medical records to the attention of my new healthcare provider. My new physician's contact information is as follows: [New Physician's Name] [New Physician's Address] [City, State, ZIP Code] [New Physician's Phone Number] [New Physician's Fax Number, if applicable] I understand that there may be a fee associated with copying and transferring my medical records. If necessary, please inform me of the associated costs and payment arrangements. In the interim, if I require any prescription refills or an emergency arises before I establish care with my new physician, I will contact your office promptly. I would like to express my gratitude for the care you have provided me during our doctor-patient relationship. I trust that you will handle my request promptly and professionally. Should you have any questions or require additional information, please do not hesitate to contact me at [Your Phone Number] or [Your Email Address]. Thank you for your attention to this matter. Sincerely, [Your Full Name] Different types and variations of Virginia Sample Letters for Termination of Physician's Care may include situations where the patient is: 1. Terminating care due to relocation: This variation focuses on patients who are moving to a different city, state, or area and need to find a physician closer to the new location. 2. Dissatisfaction with treatment: Here, patients express their dissatisfaction with the physician's treatment methods, lack of improvement in their condition, or other related issues prompting the need to change healthcare providers. 3. Changing insurance plans: Some patients may need to switch physicians due to changes in their insurance coverage, such as transitioning to a different plan or provider network that doesn't include their current physician. These variations address specific circumstances but follow similar guidelines as the primary Virginia Sample Letter for Termination of Physician's Care mentioned above. Adapting the content accordingly ensures that patients articulate their reasons and intentions clearly, allowing for a smooth transfer of their medical records and continued medical care.