San Antonio Texas Sample Letter for Termination of Physician's Care - Patient to Physician

State:
Multi-State
City:
San Antonio
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 inform you of my decision to terminate our physician-patient relationship, effective immediately. After careful consideration and reflection, I believe it is in my best interest to seek medical care from another provider. First and foremost, I would like to express my gratitude for the care and attention you have provided me over the course of our professional relationship. I genuinely appreciate your dedication and expertise in addressing my healthcare needs. However, after thorough research and discussions with trusted individuals, I have decided to explore other medical options in the San Antonio, Texas area. Given the diversity and specialization of healthcare providers in this region, I believe it is essential to pursue alternative avenues to ensure comprehensive and tailored medical care. I would like to emphasize that this decision is purely based on my personal health-related requirements and does not in any way reflect your competence or the quality of your services. I have complete confidence in your abilities as a physician and appreciate all the attention and care you have provided me thus far. To ensure a smooth transition to a new healthcare provider, I kindly request that you provide me with copies of my medical records. As per the Health Insurance Portability and Accountability Act (HIPAA) guidelines, I understand that I may be required to complete a release form or provide specific information to process this request. Please inform me of any necessary steps I need to take to obtain these records. I would appreciate it if you could forward any outstanding bills or invoices to my attention so that I can settle any financial obligations promptly. Additionally, if there are any prescriptions or ongoing treatments that need to be addressed during this transition, please provide me with clear instructions and alternative options, if applicable. I would like to thank you once again for your exceptional care and dedication throughout our professional relationship. I assure you that my decision to terminate our physician-patient relationship is not made lightly and is solely based on my desire to explore different avenues of medical care. If you have any questions or require further information regarding this matter, please do not hesitate to contact me at your convenience. I would be more than happy to discuss any concerns you may have. Thank you for your understanding and cooperation. I wish you continued success in your medical practice. Sincerely, [Patient's Name]

Dear [Physician's Name], I hope this letter finds you well. I am writing to inform you of my decision to terminate our physician-patient relationship, effective immediately. After careful consideration and reflection, I believe it is in my best interest to seek medical care from another provider. First and foremost, I would like to express my gratitude for the care and attention you have provided me over the course of our professional relationship. I genuinely appreciate your dedication and expertise in addressing my healthcare needs. However, after thorough research and discussions with trusted individuals, I have decided to explore other medical options in the San Antonio, Texas area. Given the diversity and specialization of healthcare providers in this region, I believe it is essential to pursue alternative avenues to ensure comprehensive and tailored medical care. I would like to emphasize that this decision is purely based on my personal health-related requirements and does not in any way reflect your competence or the quality of your services. I have complete confidence in your abilities as a physician and appreciate all the attention and care you have provided me thus far. To ensure a smooth transition to a new healthcare provider, I kindly request that you provide me with copies of my medical records. As per the Health Insurance Portability and Accountability Act (HIPAA) guidelines, I understand that I may be required to complete a release form or provide specific information to process this request. Please inform me of any necessary steps I need to take to obtain these records. I would appreciate it if you could forward any outstanding bills or invoices to my attention so that I can settle any financial obligations promptly. Additionally, if there are any prescriptions or ongoing treatments that need to be addressed during this transition, please provide me with clear instructions and alternative options, if applicable. I would like to thank you once again for your exceptional care and dedication throughout our professional relationship. I assure you that my decision to terminate our physician-patient relationship is not made lightly and is solely based on my desire to explore different avenues of medical care. If you have any questions or require further information regarding this matter, please do not hesitate to contact me at your convenience. I would be more than happy to discuss any concerns you may have. Thank you for your understanding and cooperation. I wish you continued success in your medical practice. Sincerely, [Patient's Name]

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San Antonio Texas Sample Letter for Termination of Physician's Care - Patient to Physician