[Your Name] [Your Address] [City, State, Zip] [Email Address] [Phone Number] [Date] [Physician's Name] [Physician's Address] [City, State, Zip] Subject: Termination of Physician's Care Dear Dr. [Physician's Last Name], I hope this letter finds you well. I am writing to formally terminate my medical care under your practice at [Medical Facility Name]. After careful consideration and exploring other options, I have decided to seek medical assistance elsewhere. I would like to express my sincerest gratitude for the medical care you have provided me during our time together. I appreciate the dedication, expertise, and support you have consistently demonstrated. Your professionalism and commitment to patient care have not gone unnoticed. However, certain factors have led me to make this difficult decision. [Here, you can mention any reasons for your decision, such as wanting a second opinion, relocating to a different area, or desiring a specialist's care for a specific condition.] I have already found a new physician who better aligns with my current healthcare needs and goals. Effective immediately, I kindly request that you transfer my medical records to the following healthcare provider: [New Physician's Name] [New Physician's Address] [City, State, Zip] I understand that my medical records are confidential and protected under HIPAA regulations. Therefore, I authorize the release of my medical records to [New Physician's Name] to ensure the continuity of my care. Please send a copy of my complete medical records, including laboratory test results, imaging reports, and any other pertinent documents. Additionally, if there are any outstanding bills or paperwork requiring my attention, kindly inform me so that I can settle any outstanding matters promptly. I would also appreciate it if you could inform me of any ongoing prescriptions or recommendations to facilitate a smooth transition to my new healthcare provider. I would like to thank you again for your care and understanding throughout our physician-patient relationship. Your expertise and compassion have been invaluable to me. I wish you continued success in your medical practice. If you have any further questions or require any additional information, kindly contact me at [Phone Number] or [Email Address]. Thank you for your attention to this matter. Sincerely, [Your Full Name]
Montgomery Maryland Sample Letter for Termination of Physician's Care - Patient to Physician
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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 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.
This letter is to advise you that I will no longer be available to provide medical services to you after (FUTURE DATE ALLOWING PATIENT REASONABLE TIME TO FIND ANOTHER PHYSICIAN). I will be available to treat you until (DATE FROM ABOVE), so that you will have access to care while you choose another physician.
Patient abandonment is a form of medical malpractice that occurs when a physician terminates the doctor-patient relationship without reasonable notice or a reasonable excuse, and fails to provide the patient with an opportunity to find a qualified replacement care provider.
Refer the patient to his or her health insurance company's list of providers, county medical society, or a physician-referral service. Include an authorization for the release of the medical record. Advise the patient to designate the new physician, sign the form, and send it to your office.
The medical termination letter format should include a reason for the termination, the date of the termination, and the amount of time you will continue to provide care for the patient. Include supporting evidence for the decision, especially if the decision is based on the undesirable actions of the patient.
What is an action that the physician performs to end their relationship with a patient? Physician-Initiated Termination.
A patient can end the relationship by giving the physician oral or written notification. Physicians should document this notification in the patient's chart. It may be prudent to send the patient an acknowledgment that he or she has terminated the doctor-patient relationship, and then retain a copy of the letter.
In the letter, I stated that it would be necessary to terminate our physician/patient relationship if we did not hear from you. Since we have not heard from you, please be advised that I will no longer be able to treat you as a patient.
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)
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