Washington Sample Letter for Termination of Physician's Care - Patient to Physician

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Multi-State
Control #:
US-0237LR
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Word; 
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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.

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FAQ

Even though physicians retain the legal right to dismiss patients in many situations, there are some circumstances when it's not only unadvisable but unethical and, depending on the state where it occurs, illegal and punishable both by law and by censure.

A discharge summary is a letter written by the doctor caring for you in hospital. It contains important information about your. hospital visit, including: 2022 why you came into hospital.

6 Components of a Hospital Discharge SummaryReason for hospitalization: description of the patient's primary presenting condition; and/or.Significant findings:Procedures and treatment provided:Patient's discharge condition:Patient and family instructions (as appropriate):Attending physician's signature:

The key principles of effective discharge planningThe 10 steps of discharge planning.Start planning before or on admission.Identify whether the patient has simple or complex needs.Develop a clinical management plan within 24 hours of admission.Coordinate the discharge or transfer process.More items...?

A patient can end the relationship by giving the physician oral or written notification. Physicians should document this notification in the patient's chart. It may be prudent to send the patient an acknowledgment that he or she has terminated the doctor-patient relationship, and then retain a copy of the letter.

The typical termination procedure involves consulting with the patient's insurer about your plans, then sending a letter to the patient by certifed mail, with a return receipt requested.

Always address them by their last name unless they gave you permission to use their first name. For example, if their name is Dr. Kevin Smith, you would write Hi, Dr.

The discharge letter should be marked "personal/confidential" and mailed by certified mail, return receipt requested, to the patient's last known address. File a copy of the letter and the receipt in the patient's medical record. If the letter is returned unclaimed, mail it again.

The discharge letter should be marked "personal/confidential" and mailed by certified mail, return receipt requested, to the patient's last known address. File a copy of the letter and the receipt in the patient's medical record. If the letter is returned unclaimed, mail it again.

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.

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Washington Sample Letter for Termination of Physician's Care - Patient to Physician