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]
Vermont Sample Letter for Termination of Physician's Care - Patient to Physician
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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.
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.
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.
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.
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.
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)
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)
When you decide to end your relationship with a patient, inform him or her in writing and send the letter by certified mail, with a return receipt requested. If it's possible to describe the reason for the termination in a brief, clear, objective way, do so in the letter.
