Doctor Patient Termination Letter Sample With Example
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How to fill out Sample Letter For From Doctor To Patient?
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FAQ
The typical termination procedure involves consulting with the patient's insurer about your plans, then sending a letter to the patient by certifed mail, with a return receipt requested.
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.
How to Write a Patient Termination Letter Due to Non-Compliance Date the letter is written. Recipient's name. Date the patient's relationship with the office will end (this can be a specific date or a time frame) Recommendation to seek a new care provider. Reference to local physician referral service, if available.
Dear [name], As discussed with you on [date] I regret that I am unable to continue as your treating doctor. I feel it would be in your best interest to transfer your care to an alternative practitioner. I will of course continue to provide ongoing care until you identify your new practitioner.
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.).
