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

State:
Multi-State
County:
Pima
Control #:
US-0237LR
Format:
Word; 
Rich Text
Instant download

Description

This form is a sample letter in Word format covering the subject matter of the title of the form. Dear [Physician's Name], I hope this letter finds you well. I am writing to discuss an important matter regarding my healthcare. After careful consideration and review of my medical needs, I have made the difficult decision to terminate our physician-patient relationship effective immediately. Firstly, I want to express my gratitude for the care you have provided me up until this point. Your dedication, expertise, and commitment to my well-being have not gone unnoticed. However, due to personal circumstances, I believe it is in my best interest to seek medical care elsewhere. As I am sure you are aware, finding the right healthcare provider is crucial for any individual's well-being. After thorough research and conversations with trusted friends and family, I have identified a new physician who aligns closely with my specific medical needs and preferences. This decision has not been taken lightly, and I believe it will allow me to receive the personalized care I am seeking. Regarding the transition of my medical records, I kindly request your assistance in transferring all relevant documentation to my new healthcare provider. I understand that this process may involve signing necessary release forms or providing your office with contact information for the new physician. I expect your prompt assistance in ensuring a smooth transfer, as this is essential for the continuity of my healthcare. In the meantime, I would appreciate your guidance on any ongoing treatments, prescriptions, or recommended specialist referrals that I should be aware of before my transition to the new provider. It is crucial for me to maintain consistency in my care during this period of change. While my decision to terminate our physician-patient relationship may come as a surprise, I want to reassure you that it is not a reflection of the quality of care provided by your esteemed practice. Personal circumstances and preferences have driven my decision, and I genuinely appreciate the care and attention you have given me throughout our time working together. Thank you again for your understanding, and I wish you all the best in your medical practice. If you have any questions or require further information, please do not hesitate to contact me at [your contact information]. Sincerely, [Your Name]

Dear [Physician's Name], I hope this letter finds you well. I am writing to discuss an important matter regarding my healthcare. After careful consideration and review of my medical needs, I have made the difficult decision to terminate our physician-patient relationship effective immediately. Firstly, I want to express my gratitude for the care you have provided me up until this point. Your dedication, expertise, and commitment to my well-being have not gone unnoticed. However, due to personal circumstances, I believe it is in my best interest to seek medical care elsewhere. As I am sure you are aware, finding the right healthcare provider is crucial for any individual's well-being. After thorough research and conversations with trusted friends and family, I have identified a new physician who aligns closely with my specific medical needs and preferences. This decision has not been taken lightly, and I believe it will allow me to receive the personalized care I am seeking. Regarding the transition of my medical records, I kindly request your assistance in transferring all relevant documentation to my new healthcare provider. I understand that this process may involve signing necessary release forms or providing your office with contact information for the new physician. I expect your prompt assistance in ensuring a smooth transfer, as this is essential for the continuity of my healthcare. In the meantime, I would appreciate your guidance on any ongoing treatments, prescriptions, or recommended specialist referrals that I should be aware of before my transition to the new provider. It is crucial for me to maintain consistency in my care during this period of change. While my decision to terminate our physician-patient relationship may come as a surprise, I want to reassure you that it is not a reflection of the quality of care provided by your esteemed practice. Personal circumstances and preferences have driven my decision, and I genuinely appreciate the care and attention you have given me throughout our time working together. Thank you again for your understanding, and I wish you all the best in your medical practice. If you have any questions or require further information, please do not hesitate to contact me at [your contact information]. Sincerely, [Your Name]

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

If you need to find a reliable legal form provider to get the Pima Sample Letter for Termination of Physician's Care - Patient to Physician, look no further than US Legal Forms. Whether you need to launch your LLC business or manage your belongings distribution, we got you covered. You don't need to be well-versed in in law to find and download the needed template.

  • You can search from more than 85,000 forms categorized by state/county and case.
  • The intuitive interface, number of supporting resources, and dedicated support team make it simple to find and execute various paperwork.
  • US Legal Forms is a trusted service providing legal forms to millions of users since 1997.

Simply type to search or browse Pima Sample Letter for Termination of Physician's Care - Patient to Physician, either by a keyword or by the state/county the form is created for. After locating required template, you can log in and download it or save it in the My Forms tab.

Don't have an account? It's simple to start! Simply locate the Pima Sample Letter for Termination of Physician's Care - Patient to Physician template and take a look at the form's preview and description (if available). If you're comfortable with the template’s terminology, go ahead and click Buy now. Register an account and select a subscription plan. The template will be instantly available for download once the payment is completed. Now you can execute the form.

Taking care of your legal affairs doesn’t have to be expensive or time-consuming. US Legal Forms is here to prove it. Our extensive collection of legal forms makes this experience less expensive and more reasonably priced. Create your first company, organize your advance care planning, draft a real estate agreement, or complete the Pima Sample Letter for Termination of Physician's Care - Patient to Physician - all from the convenience of your sofa.

Join US Legal Forms now!

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

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