Washington 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. Keywords: Washington, sample letter, termination of physician's care, patient to physician Title: Washington Sample Letter for Termination of Physician's Care — Patient to Physician Introduction: In the state of Washington, patients have the right to terminate their physician's care for various reasons. This sample letter aims to guide patients in Washington through the proper procedure for terminating their physician's care. The letter provides a detailed description and includes relevant keywords to ensure effectiveness. Keywords: Washington, sample letter, termination of physician's care, patient to physician Sample Letter for Termination of Physician's Care — Patient to Physician: [Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Physician's Name] [Physician's Address] [City, State, ZIP] 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. After careful consideration and discussion with my family and loved ones, I have concluded that it is in my best interest to seek medical care from another healthcare provider. I want to emphasize that this decision does not reflect any dissatisfaction with the care provided by you or your medical team. On the contrary, I appreciate the professionalism and dedication demonstrated by yourself and your staff throughout our time together. However, due to personal circumstances or a desire for a different approach to my medical needs, I have decided to explore other options for my healthcare. I kindly request that you transfer my medical records, including all relevant test results, diagnoses, treatment plans, and medication history to the healthcare provider or facility I will be selecting. Please ensure that this transfer adheres to all applicable laws and regulations, including the privacy and security of my medical information as outlined by the Health Insurance Portability and Accountability Act (HIPAA). If possible, I would greatly appreciate receiving a copy of my medical records for my personal records. Please let me know the procedure and any associated fees required for obtaining a copy. I understand that you may need some time to process this request and complete the necessary paperwork. As such, I will not be scheduling any further appointments with your practice beyond [30/60/90] days from the date of this letter. If there are any urgent matters or follow-up appointments needed during this transitional period, please inform me as soon as possible. I would like to express my gratitude for the care and support I have received during our physician-patient relationship. I value the trust and rapport we have built, and I hope you understand that my decision to seek care elsewhere is a personal one. Thank you for your attention to this matter. I will greatly appreciate your prompt response acknowledging receipt of this termination letter. If there are any additional steps or requirements necessary on my part, please inform me promptly. Wishing you continued success in your medical practice. Sincerely, [Your Name] Types of Washington Sample Letter for Termination of Physician's Care — Patient to Physician: 1. General Termination Letter: This type of letter applies to patients who wish to terminate their physician's care for various reasons unrelated to any specific incidents or concerns. 2. Specific Incident Termination Letter: Some patients may have encountered specific incidents or concerns that led to their decision to terminate their physician's care. This type of letter addresses those incidents and explains the patient's decision. 3. Urgent Termination Letter: In certain urgent cases, patients may need to terminate their physician's care immediately due to unforeseen circumstances or a need for immediate medical attention elsewhere. Please note that these types of termination letters may have some overlap in content, but their context and focus may vary. It is essential to tailor the letter to the specific situation while ensuring adherence to Washington state regulations and guidelines.

Keywords: Washington, sample letter, termination of physician's care, patient to physician Title: Washington Sample Letter for Termination of Physician's Care — Patient to Physician Introduction: In the state of Washington, patients have the right to terminate their physician's care for various reasons. This sample letter aims to guide patients in Washington through the proper procedure for terminating their physician's care. The letter provides a detailed description and includes relevant keywords to ensure effectiveness. Keywords: Washington, sample letter, termination of physician's care, patient to physician Sample Letter for Termination of Physician's Care — Patient to Physician: [Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Physician's Name] [Physician's Address] [City, State, ZIP] 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. After careful consideration and discussion with my family and loved ones, I have concluded that it is in my best interest to seek medical care from another healthcare provider. I want to emphasize that this decision does not reflect any dissatisfaction with the care provided by you or your medical team. On the contrary, I appreciate the professionalism and dedication demonstrated by yourself and your staff throughout our time together. However, due to personal circumstances or a desire for a different approach to my medical needs, I have decided to explore other options for my healthcare. I kindly request that you transfer my medical records, including all relevant test results, diagnoses, treatment plans, and medication history to the healthcare provider or facility I will be selecting. Please ensure that this transfer adheres to all applicable laws and regulations, including the privacy and security of my medical information as outlined by the Health Insurance Portability and Accountability Act (HIPAA). If possible, I would greatly appreciate receiving a copy of my medical records for my personal records. Please let me know the procedure and any associated fees required for obtaining a copy. I understand that you may need some time to process this request and complete the necessary paperwork. As such, I will not be scheduling any further appointments with your practice beyond [30/60/90] days from the date of this letter. If there are any urgent matters or follow-up appointments needed during this transitional period, please inform me as soon as possible. I would like to express my gratitude for the care and support I have received during our physician-patient relationship. I value the trust and rapport we have built, and I hope you understand that my decision to seek care elsewhere is a personal one. Thank you for your attention to this matter. I will greatly appreciate your prompt response acknowledging receipt of this termination letter. If there are any additional steps or requirements necessary on my part, please inform me promptly. Wishing you continued success in your medical practice. Sincerely, [Your Name] Types of Washington Sample Letter for Termination of Physician's Care — Patient to Physician: 1. General Termination Letter: This type of letter applies to patients who wish to terminate their physician's care for various reasons unrelated to any specific incidents or concerns. 2. Specific Incident Termination Letter: Some patients may have encountered specific incidents or concerns that led to their decision to terminate their physician's care. This type of letter addresses those incidents and explains the patient's decision. 3. Urgent Termination Letter: In certain urgent cases, patients may need to terminate their physician's care immediately due to unforeseen circumstances or a need for immediate medical attention elsewhere. Please note that these types of termination letters may have some overlap in content, but their context and focus may vary. It is essential to tailor the letter to the specific situation while ensuring adherence to Washington state regulations and guidelines.