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

• Category: Letters - Nonlegal - Termination
• State: Multi-State
• County: Allegheny
• 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. Subject: Termination of Care — Patient to Physician Dear [Physician's Name], I hope this letter finds you well. I am writing to inform you that, after careful consideration and discussion with my loved ones, I have decided to terminate our physician-patient relationship effective [termination date]. It was not an easy decision for me to make, as I understand the importance of continuity of care and the rapport we have built over the years. However, the circumstances necessitate a change in my healthcare provider. In order to ensure a smooth transition, I have identified another trusted physician who will be taking over my healthcare needs. I have already discussed my case with them, and they are ready to accept my care immediately. Their contact information is as follows: Name: [New Physician's Name] Clinic/Practice: [Clinic/Practice Name] Address: [Clinic/Practice Address] Phone: [Clinic/Practice Phone Number] Before parting ways, I would like to express my gratitude for the commitment and dedication you have shown in providing me with quality healthcare services. I have always felt heard and valued as your patient, and I appreciate the time you have invested in my well-being. As per your request, I have requested a copy of my medical records to be transferred to my new healthcare provider. I kindly ask that you facilitate this process promptly and make arrangements to securely transfer my entire medical history, including any laboratory results, diagnostic reports, and treatment plans. Having these records on hand will greatly aid my new physician in understanding my medical background and ensuring a seamless continuation of care. Please note that this decision is not a reflection of any dissatisfaction with your services or the treatment I have received. Rather, it is a personal choice driven by a desire to explore alternative healthcare options and benefit from a fresh perspective. I believe that this change will serve in my best interest and contribute to my overall health and well-being. If there are any outstanding matters or administrative tasks related to my departure, such as pending bill settlements or insurance claims, please let me know, and I will ensure that they are promptly addressed. Thank you once again for the care and attention you have provided throughout our doctor-patient relationship. I genuinely appreciate your expertise and professionalism, which have positively impacted my life. I wish you continued success in your medical practice and trust that you will continue to make a positive difference in the lives of your patients. Sincerely, [Patient's Name] [Patient's Address] [Patient's Phone Number] [Patient's Email Address] Additional Keywords: Allegheny Pennsylvania, terminating physician's care, patient transitioning care, patient's new healthcare provider, transferring medical records, alternative healthcare options, continuing care

Subject: Termination of Care — Patient to Physician Dear [Physician's Name], I hope this letter finds you well. I am writing to inform you that, after careful consideration and discussion with my loved ones, I have decided to terminate our physician-patient relationship effective [termination date]. It was not an easy decision for me to make, as I understand the importance of continuity of care and the rapport we have built over the years. However, the circumstances necessitate a change in my healthcare provider. In order to ensure a smooth transition, I have identified another trusted physician who will be taking over my healthcare needs. I have already discussed my case with them, and they are ready to accept my care immediately. Their contact information is as follows: Name: [New Physician's Name] Clinic/Practice: [Clinic/Practice Name] Address: [Clinic/Practice Address] Phone: [Clinic/Practice Phone Number] Before parting ways, I would like to express my gratitude for the commitment and dedication you have shown in providing me with quality healthcare services. I have always felt heard and valued as your patient, and I appreciate the time you have invested in my well-being. As per your request, I have requested a copy of my medical records to be transferred to my new healthcare provider. I kindly ask that you facilitate this process promptly and make arrangements to securely transfer my entire medical history, including any laboratory results, diagnostic reports, and treatment plans. Having these records on hand will greatly aid my new physician in understanding my medical background and ensuring a seamless continuation of care. Please note that this decision is not a reflection of any dissatisfaction with your services or the treatment I have received. Rather, it is a personal choice driven by a desire to explore alternative healthcare options and benefit from a fresh perspective. I believe that this change will serve in my best interest and contribute to my overall health and well-being. If there are any outstanding matters or administrative tasks related to my departure, such as pending bill settlements or insurance claims, please let me know, and I will ensure that they are promptly addressed. Thank you once again for the care and attention you have provided throughout our doctor-patient relationship. I genuinely appreciate your expertise and professionalism, which have positively impacted my life. I wish you continued success in your medical practice and trust that you will continue to make a positive difference in the lives of your patients. Sincerely, [Patient's Name] [Patient's Address] [Patient's Phone Number] [Patient's Email Address] Additional Keywords: Allegheny Pennsylvania, terminating physician's care, patient transitioning care, patient's new healthcare provider, transferring medical records, alternative healthcare options, continuing care