Vermont 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 physician-patient relationship. Firstly, I would like to express my gratitude for the care and attention you have provided me with over the course of our association. Your expertise and dedication as my primary healthcare provider has been greatly appreciated. However, after careful consideration and discussion with my family, I have decided to seek medical care elsewhere. Please understand that this is not a reflection of your capabilities as a physician, but rather a personal choice based on a desire to explore other medical options. I would like to request that you kindly provide me with a copy of my medical records as per Vermont state laws. I find it necessary to have these records transferred to my new healthcare provider to ensure continuity of care. Please let me know the procedure and any associated charges for obtaining these records. It would be appreciated if you could send these records directly to my new provider's office at [address]. I would also appreciate any recommendations or referrals you might have for other healthcare providers in the area. Your professional opinion would greatly assist me in finding a suitable replacement provider. In conclusion, I would like to thank you once again for your care and support. While I have made the decision to move on, I am thankful for the quality of care I have received during my time with you. I wish you continued success in your practice. Thank you for your attention to this matter. I look forward to receiving my medical records promptly and appreciate your assistance in making this transition as smooth as possible. Yours sincerely, [Your Name]

Dear [Physician's Name], I hope this letter finds you well. I am writing to inform you of my decision to terminate our physician-patient relationship. Firstly, I would like to express my gratitude for the care and attention you have provided me with over the course of our association. Your expertise and dedication as my primary healthcare provider has been greatly appreciated. However, after careful consideration and discussion with my family, I have decided to seek medical care elsewhere. Please understand that this is not a reflection of your capabilities as a physician, but rather a personal choice based on a desire to explore other medical options. I would like to request that you kindly provide me with a copy of my medical records as per Vermont state laws. I find it necessary to have these records transferred to my new healthcare provider to ensure continuity of care. Please let me know the procedure and any associated charges for obtaining these records. It would be appreciated if you could send these records directly to my new provider's office at [address]. I would also appreciate any recommendations or referrals you might have for other healthcare providers in the area. Your professional opinion would greatly assist me in finding a suitable replacement provider. In conclusion, I would like to thank you once again for your care and support. While I have made the decision to move on, I am thankful for the quality of care I have received during my time with you. I wish you continued success in your practice. Thank you for your attention to this matter. I look forward to receiving my medical records promptly and appreciate your assistance in making this transition as smooth as possible. Yours sincerely, [Your Name]