Doctor Patient Termination Letter Sample For Inappropriate Behavior
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How to fill out Sample Letter For From Doctor To Patient?
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FAQ
Dear Patient: The purpose of this letter is to inform you that I can no longer serve as your physician. The reason for this decision is (insert an explanation of the patient's specific actions and the reasons that led up to the decision to end the physician-patient relationship).
Sample Patient Termination Letter I will continue to provide you with any necessary care until [STATE DATE, USUALLY 30 DAYS OUT], which should give you sufficient time to transfer your care; however, after that date, you will need to obtain medical care elsewhere. Your condition [MAY/DOES] require continued care.
However, you have been disrespectful to my staff. Such behavior undermines the patient/provider relationship and makes it very difficult to provide your ongoing care. We will gladly send a copy of your records to your new practice at your request. We are sorry that our relationship must end on these terms.
When you decide to end your relationship with a patient, inform him or her in writing and send the letter by certified mail, with a return receipt requested. If it's possible to describe the reason for the termination in a brief, clear, objective way, do so in the letter.
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.
