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

State:
Multi-State
Control #:
US-0236LR
Format:
Word; 
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Sample Letter for Termination of Physician's Care - Physician to Patient Title: Wisconsin Sample Letter for Termination of Physician's Care — Physician to Patient Introduction: In Wisconsin, a sample letter for termination of physician's care is a crucial correspondence that outlines the discontinuation of doctor-patient relationship. This letter serves as an official record and aims to ensure a smooth transition of care for the patient. Different types of termination letters may include reasons for termination, transition plans, and patient referral options. Keywords: Wisconsin, sample letter, termination, physician's care, physician to patient, doctor-patient relationship, discontinuation, transition of care, reasons for termination, patient referral options. Sample Letter 1: Termination of Physician's Care — Regular Discontinuation [Physician's Name] [Medical Facility Name] [Address] [City, State, ZIP] [Date] [Patient's Name] [Patient's Address] [City, State, ZIP] Dear [Patient's Name], I am writing to inform you of the termination of our physician-patient relationship, effective [date — usually 30 days from the letter date]. It is with regret that I must discontinue your care as your primary healthcare provider. I believe this decision is in the best interest of both parties involved. [Explain the reason(s) for termination, such as relocation, retirement, practice changes, or medical specialty limitations.] To ensure a seamless transition of care, I recommend the following options for continued medical assistance: 1. Option 1: [List alternative physicians or medical facilities that are accepting new patients] [Include contact information and any necessary details for scheduling appointments.] 2. Option 2: [Provide information on local clinics or healthcare organizations that may be suitable according to the patient's medical needs] [Include contact information and website details for further assistance.] 3. Option 3: [Suggest online resources for finding a new healthcare provider, such as Wisconsin's Department of Health Services website or online directories.] To further assist with your transition, I have enclosed a copy of your medical records. If you choose a new healthcare provider, I recommend forwarding these records to ensure they have access to your complete medical history. Should you need any other resources or assistance, please do not hesitate to contact our office during the transition period. [Conclude with a respectful closing, reminding the patient of their importance and the previous care received.] Sincerely, [Physician's Name] [Physician's Credentials] [Contact Information] Sample Letter 2: Termination of Physician's Care — Noncompliance [Variation: In case termination is due to patient noncompliance or other ethical conflicts] Sample Letter 3: Termination of Physician's Care — Referral to a Specialist [Variation: For cases where the physician refers the patient to a specialist for specific medical concerns or complex care needs] Conclusion: Wisconsin's sample letter for termination of physician's care is a critical tool that helps physicians communicate the discontinuation of services to their patients. These letters ensure a smooth transition and provide essential information, such as the reason for termination and alternative healthcare options. Ensuring proper communication and support during this process is vital for both parties involved.

Title: Wisconsin Sample Letter for Termination of Physician's Care — Physician to Patient Introduction: In Wisconsin, a sample letter for termination of physician's care is a crucial correspondence that outlines the discontinuation of doctor-patient relationship. This letter serves as an official record and aims to ensure a smooth transition of care for the patient. Different types of termination letters may include reasons for termination, transition plans, and patient referral options. Keywords: Wisconsin, sample letter, termination, physician's care, physician to patient, doctor-patient relationship, discontinuation, transition of care, reasons for termination, patient referral options. Sample Letter 1: Termination of Physician's Care — Regular Discontinuation [Physician's Name] [Medical Facility Name] [Address] [City, State, ZIP] [Date] [Patient's Name] [Patient's Address] [City, State, ZIP] Dear [Patient's Name], I am writing to inform you of the termination of our physician-patient relationship, effective [date — usually 30 days from the letter date]. It is with regret that I must discontinue your care as your primary healthcare provider. I believe this decision is in the best interest of both parties involved. [Explain the reason(s) for termination, such as relocation, retirement, practice changes, or medical specialty limitations.] To ensure a seamless transition of care, I recommend the following options for continued medical assistance: 1. Option 1: [List alternative physicians or medical facilities that are accepting new patients] [Include contact information and any necessary details for scheduling appointments.] 2. Option 2: [Provide information on local clinics or healthcare organizations that may be suitable according to the patient's medical needs] [Include contact information and website details for further assistance.] 3. Option 3: [Suggest online resources for finding a new healthcare provider, such as Wisconsin's Department of Health Services website or online directories.] To further assist with your transition, I have enclosed a copy of your medical records. If you choose a new healthcare provider, I recommend forwarding these records to ensure they have access to your complete medical history. Should you need any other resources or assistance, please do not hesitate to contact our office during the transition period. [Conclude with a respectful closing, reminding the patient of their importance and the previous care received.] Sincerely, [Physician's Name] [Physician's Credentials] [Contact Information] Sample Letter 2: Termination of Physician's Care — Noncompliance [Variation: In case termination is due to patient noncompliance or other ethical conflicts] Sample Letter 3: Termination of Physician's Care — Referral to a Specialist [Variation: For cases where the physician refers the patient to a specialist for specific medical concerns or complex care needs] Conclusion: Wisconsin's sample letter for termination of physician's care is a critical tool that helps physicians communicate the discontinuation of services to their patients. These letters ensure a smooth transition and provide essential information, such as the reason for termination and alternative healthcare options. Ensuring proper communication and support during this process is vital for both parties involved.

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