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

Queens New York Sample Letter for Termination of Physician's Care - Patient to Physician

Name: Queens New York Sample Letter for Termination of Physician's Care - Patient to Physician
Brand: US Legal Forms
Rating: 4.87 (215 reviews)

Category:

Letters - Nonlegal - Termination

State:

Multi-State

County:

Queens

Control #:

US-0237LR

Format:

Instant download

Description

This form is a sample letter in Word format covering the subject matter of the title of the form.

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How to fill out Queens New York Sample Letter For Termination Of Physician's Care - Patient To Physician?

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FAQ

What is an action that the physician performs to end their relationship with a patient? Physician-Initiated Termination.

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)

This letter is to inform you that I am no longer willing to be your primary care physician. The reason for this decision is describe reason briefly, or omit this sentence. Our office will continue to direct your care for any emergencies that arise over the next 30 days.

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.

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.

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.

As we discussed, I find it necessary to inform you that I will no longer be able to serve as your doctor as of (date at least 30 days from date of letter). The primary difficulty has been (indicate general reason, e.g., your failure to cooperate with the medical care plan, your behavior toward my staff, etc.).

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.

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.

More info

The HealthChoice Program provides health care to most Maryland Medicaid participants. HealthChoice members must enroll in a Managed Care Organization (MCO).If you are the one that is initiating the separation, adequate time must be given to allow the patient to obtain a new practitioner. Follow-up care after emergencies . A copy of the letter and the return receipt should be retained in the physician's records. 50.1. The change means doctors who attract lots of new patients through the site will end up paying more. HealthChoice is the name of Maryland Medicaid's managed care program. Take inventory of your practice and understand your patient population . 2009. CanMEDS physician health guide: A practical handbook for physician health and well-being.

Queens New York Sample Letter for Termination of Physician's Care - Patient to Physician

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