US Legal Forms
Localized Forms
Arizona
Maricopa
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

Employment Verification Letter for Immigra...

View this form

Living Trust for Husband and Wife with Min...

View this form

New York Name Change Instructions and Form...

View this form

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

Laws and regulations in every sphere vary around the country. If you're not a lawyer, it's easy to get lost in various norms when it comes to drafting legal documentation. To avoid pricey legal assistance when preparing the Maricopa Sample Letter for Termination of Physician's Care - Physician to Patient, you need a verified template valid for your region. That's when using the US Legal Forms platform is so helpful.

US Legal Forms is a trusted by millions online library of more than 85,000 state-specific legal templates. It's a great solution for specialists and individuals looking for do-it-yourself templates for various life and business scenarios. All the documents can be used many times: once you obtain a sample, it remains available in your profile for future use. Therefore, if you have an account with a valid subscription, you can just log in and re-download the Maricopa Sample Letter for Termination of Physician's Care - Physician to Patient from the My Forms tab.

For new users, it's necessary to make several more steps to obtain the Maricopa Sample Letter for Termination of Physician's Care - Physician to Patient:

Examine the page content to ensure you found the correct sample.
Take advantage of the Preview option or read the form description if available.
Look for another doc if there are inconsistencies with any of your requirements.
Utilize the Buy Now button to obtain the template when you find the right one.
Opt for one of the subscription plans and log in or create an account.
Select how you prefer to pay for your subscription (with a credit card or PayPal).
Pick the format you want to save the document in and click Download.
Fill out and sign the template on paper after printing it or do it all electronically.

That's the easiest and most affordable way to get up-to-date templates for any legal scenarios. Locate them all in clicks and keep your documentation in order with the US Legal Forms!

Form Rating

4.62

Satisfied(328)

Form popularity

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.

More info

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

Description

Related forms

Viewed forms

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

Show more info

Form Rating

Form popularity

FAQ

For what reasons can a physician terminate a contract with a patient?

What is the appropriate way for a physician to terminate a patient?

What is a valid reason for a physician to terminate a contract with a patient?

What are four reasons for termination of a medical contract?

How do you write a termination letter to a patient?

How should the physician notify the patient that he or she is terminating care?

How would you notify a patient of termination?

Why would a doctor dismiss a patient?

More info

Trusted and secure by over 3 million people of the world’s leading companies