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Sample Letter for Termination of Physician's Care - Physician to...

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

Name: Maricopa Arizona Sample Letter for Termination of Physician's Care - Physician to Patient
Brand: US Legal Forms
Rating: 4.62 (328 reviews)

Category:

Letters - Nonlegal - Termination

State:

Multi-State

County:

Maricopa

Control #:

US-0236LR

Format:

Instant download

Description

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

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How to fill out Maricopa Arizona Sample Letter For Termination Of Physician's Care - Physician To Patient?

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FAQ

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.

If you have a with cause termination contract, you'll need to make sure you have a justified reason for letting the physician go. Justifiable reasons include loss of hospital privileges, licenses, or participation status with insurance providers.

Common causes for termination may include loss or suspension of license or medical staff privileges, failure to obtain or maintain managed care participation, failure to obtain or maintain board certification, commission or conviction of a crime, or patient safety related issues, attendance issues or poor productivity.

Since we have not heard from you, please be advised that I will no longer be able to treat you as a patient. The termination of our relationship will be effective in 30 days from the date of this letter. A release form for your medical records is enclosed.

Giving proper notice to a patient usually includes telling the patient, either on the phone or face to face, that the physician is terminating the physician-patient relationship and writing the patient a letter confirming the termination. The letter should be sent by certified mail, return receipt requested.

When the situation for dismissing the patient is appropriate, provide a formal written notice stating that you are withdrawing care and requiring the patient to find another practitioner. Mail the written notice to the patient by both first-class and certified mail with a return receipt requested.

Common reasons for dismissal The most common reasons cited for dismissal were verbal abuse and drug-seeking behavior. Among physicians who dismissed patients, 40% cited verbal abuse and 40% cited drug-seeking behavior as reasons.

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All Supervising Physicians must maintain a written delegation agreement with their assigned physician assistants. For those receiving AHCCCS Complete Care (ACC) benefits, this plan is available in the following counties: Gila, Maricopa, Pima, Pinal.If possible, the patient should sign a copy of this letter during a visit with the physician. If the patient is in an acute phase of treatment, delay ending the relationship until the acute phase has passed. Sample Terminating Physician-Patient Relationship Letter. , gave notice of its intent to terminate the contract. The Plan is not intended to disturb the Physician-Patient relationship.

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

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