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

• Category: Letters - Nonlegal - Termination
• State: Multi-State
• County: Franklin
• 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 Physician's Care — Patient to Physician Dear [Physician's Name], I hope this letter finds you in good health. I am writing to inform you of my decision to terminate our physician-patient relationship with immediate effect. This decision has been made after careful consideration and conversations with my loved ones. I would like to express my gratitude for the medical care and attention you have provided me with throughout our association. Your expertise and dedication to your profession are truly commendable. However, after assessing the current state of my health and exploring alternative options, I believe it is in my best interest to seek a new healthcare provider who aligns more closely with my specific needs. Although this decision was not made lightly, I believe that taking this step is necessary to ensure that I receive the most suitable care moving forward. It is essential for me to find a physician who can address my unique medical concerns and provide the personalized attention required for optimal treatment. I kindly request that you prepare my medical records, including any test results, treatment plans, and prescription lists, to be transferred to my new healthcare provider promptly. As per my rights under the Health Insurance Portability and Accountability Act (HIPAA), I have signed the necessary authorization to facilitate the smooth transfer of my medical records. Please advise me on the procedure for retrieving these records, and if there are any associated costs, kindly inform me in advance. I would greatly appreciate your prompt assistance in this matter, as it will contribute to a seamless transition between healthcare providers. While our professional relationship ends with this decision, I want to reiterate my respect for your expertise and professionalism. I hold no ill feelings or discontent towards you or your practice; this termination is solely based on personal healthcare considerations. Thank you for the care you have provided me over the years. I wish you all the best in your future endeavors and hope that you continue to positively impact the lives of your patients. Sincerely, [Patient's Name] [Patient's Address] [City, State, ZIP] [Patient's Contact Number] [Email Address] Keywords: Franklin Ohio, sample letter, termination, physician's care, patient, physician, healthcare provider, medical records, HIPAA, treatment plans, test results, authorization, healthcare, transition

Subject: Termination of Physician's Care — Patient to Physician Dear [Physician's Name], I hope this letter finds you in good health. I am writing to inform you of my decision to terminate our physician-patient relationship with immediate effect. This decision has been made after careful consideration and conversations with my loved ones. I would like to express my gratitude for the medical care and attention you have provided me with throughout our association. Your expertise and dedication to your profession are truly commendable. However, after assessing the current state of my health and exploring alternative options, I believe it is in my best interest to seek a new healthcare provider who aligns more closely with my specific needs. Although this decision was not made lightly, I believe that taking this step is necessary to ensure that I receive the most suitable care moving forward. It is essential for me to find a physician who can address my unique medical concerns and provide the personalized attention required for optimal treatment. I kindly request that you prepare my medical records, including any test results, treatment plans, and prescription lists, to be transferred to my new healthcare provider promptly. As per my rights under the Health Insurance Portability and Accountability Act (HIPAA), I have signed the necessary authorization to facilitate the smooth transfer of my medical records. Please advise me on the procedure for retrieving these records, and if there are any associated costs, kindly inform me in advance. I would greatly appreciate your prompt assistance in this matter, as it will contribute to a seamless transition between healthcare providers. While our professional relationship ends with this decision, I want to reiterate my respect for your expertise and professionalism. I hold no ill feelings or discontent towards you or your practice; this termination is solely based on personal healthcare considerations. Thank you for the care you have provided me over the years. I wish you all the best in your future endeavors and hope that you continue to positively impact the lives of your patients. Sincerely, [Patient's Name] [Patient's Address] [City, State, ZIP] [Patient's Contact Number] [Email Address] Keywords: Franklin Ohio, sample letter, termination, physician's care, patient, physician, healthcare provider, medical records, HIPAA, treatment plans, test results, authorization, healthcare, transition