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

State:
Multi-State
Control #:
US-0236LR
Format:
Word; 
Rich Text
Instant download

Definition and meaning

The "Sample Letter for Termination of Physician's Care - Physician to Patient" is a formal correspondence initiated by a physician to inform a patient about the discontinuation of their medical care. This letter serves to explain the reasons behind the termination and may also include a referral to another healthcare provider to ensure the patient continues to receive appropriate treatment. It is important for the letter to convey this message clearly and compassionately, adhering to professional standards.

Who should use this form

This form is intended for use by healthcare professionals, specifically physicians, who need to formally terminate their relationship with a patient. It is particularly relevant in situations where a patient's medical needs require specialized care that the current physician cannot provide. Physicians may use this letter to maintain professionalism and ensure that the patient understands the transition to a new healthcare provider.

Key components of the form

A well-structured termination letter should include the following key components:

  • Sender's Information: The name, address, and contact information of the physician.
  • Date: The date the letter is sent.
  • Recipient's Information: The patient's name and contact information.
  • Subject Line: Clear indication that the letter pertains to the termination of care.
  • Body of the Letter: Explanation of the termination and reasons, along with a referral to a specialist if necessary.
  • Closing Statements: An expression of regret and an invitation for the patient to reach out with questions.
  • Signature: The physician's signature and printed name.

How to complete a form

To accurately complete the "Sample Letter for Termination of Physician's Care - Physician to Patient," follow these steps:

  1. Fill in your contact information at the top of the letter.
  2. Include the date of writing.
  3. Address the letter to the patient, including their full name and address.
  4. In the subject line, indicate it is regarding the termination of care.
  5. Draft the main body of the letter, specifying the reasons for the termination and providing any necessary referrals.
  6. Conclude with a polite closing statement and your signature.

Common mistakes to avoid when using this form

While drafting the termination letter, be cautious of the following common mistakes:

  • Lack of Clarity: Ensure the reasons for termination are clearly stated to avoid misunderstandings.
  • Inadequate Professional Tone: Maintain a respectful and professional tone throughout the letter.
  • Missing Patient Information: Include complete and correct patient details in the addressing section.
  • Failure to Offer a Referral: Always provide the name of the specialist or alternative provider for the patient's transition.
  • Not Proofreading: Review the letter for grammatical errors and typos before sending.

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FAQ

Once a patient-physician relationship has begun, a physician is said to abandon a patient who still needs medical attention when the physician refuses to continue treating the patient (i.e., severs the physician-patient relationship) without giving the patient proper notice and an adequate amount of time to find

Terminating a patient formally involves written noticevia certified mail, return receipt to the patient that he/she should find another healthcare provider. Keep all copies of the letter and any other correspondence you may have in the patient's medical record.

In California, patients make the decision as to who provides their medical care. Although physicians are permitted to terminate the doctor-patient relationship for any non-discriminatory reason, they must do so in a way that avoids allegations of patient abandonment.

The physician terminates the physician-patient relationship by notifying the patient in writing of withdrawal from care after a specific time which is stated in the letter. The patient is also given information necessary to obtain their medical records or transfer to another provider.

Terminating a patient formally involves written noticevia certified mail, return receipt to the patient that he/she should find another healthcare provider. Keep all copies of the letter and any other correspondence you may have in the patient's medical record.

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)

Sample Letter of Withdrawal from a Case Dear (PATIENT): I would like to take this opportunity to formally notify you that I will no longer be your physician because (REASON). Sample language for reason: You have consistently failed to follow my advice and recommendations.

Terminating a patient formally involves written noticevia certified mail, return receipt to the patient that he/she should find another healthcare provider. Keep all copies of the letter and any other correspondence you may have in the patient's medical record.

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