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

State:
Multi-State
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 effectively [date]. Over the course of our time working together, I have appreciated your dedication and expertise in providing medical care to me. However, after careful consideration, I have decided to explore alternative healthcare options that better align with my current needs and preferences. I would like to express my gratitude for the care and treatment you have provided me during our time together. Your professional approach and willingness to listen to my concerns have been commendable, and I recognize the effort you have put into maintaining my health. To ensure a smooth transition, I have already begun the process of securing a new healthcare provider who can address my specific requirements moving forward. I firmly believe that this change is necessary to receive the best possible care for my medical conditions. Please be aware that this decision is not due to any dissatisfaction with your services or lack of trust in your abilities. It is simply a personal choice I have made in pursuit of optimal medical care. I kindly request that you provide a copy of my medical records, including any test results or relevant documentation from our time together. These records are necessary for my new healthcare provider to get a comprehensive understanding of my medical history and continue my treatment effectively. Kindly inform me of the process to obtain these records and any associated fees, if applicable. Although our physician-patient relationship will cease, I would like to thank you once again for the care you have provided me. Your expertise and dedication have been invaluable, and I wish you all the best in your future endeavors. If you need any further information or require additional details, please do not hesitate to contact me at [phone number] or [email address]. I look forward to a smooth transition and appreciate your understanding in this matter. Thank you for your attention to this letter, and I wish you continued success in your medical practice. Sincerely, [Your Name] [Your Address] [City, State, ZIP] Keywords: Alaska, sample letter, termination, physician's care, patient, physician, healthcare, medical records, transition, healthcare provider, medical history.

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FAQ

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)

How Can I End the Patient/Physician Relationship? You can end the patient/physician relationship by explicitly telling your doctor that you no longer want to be treated by him or her.

Proper termination requires the following points:Reasonable notice. The length of appropriate notice may depend on the patient's condition and available psychiatric resources in the community.Treatment recommendations and education.Resources for treatment.Records and information.Follow-up letter.

This letter is to advise you that I will no longer be available to provide medical services to you after (FUTURE DATE ALLOWING PATIENT REASONABLE TIME TO FIND ANOTHER PHYSICIAN). I will be available to treat you until (DATE FROM ABOVE), so that you will have access to care while you choose another physician.

The discharge letter should be marked "personal/confidential" and mailed by certified mail, return receipt requested, to the patient's last known address. File a copy of the letter and the receipt in the patient's medical record.

When a physician-patient relationship must be terminated, the physician must carefully document the circumstances in the patient's medical record. This termination note should review the patient's previous medical treatment and the current state of the patient's health.

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.

When a physician decides to dismiss a patient, the patient should be notified in writing. The letter should be printed on office letterhead and sent by first-class mail and by certified mail with a return receipt requested.

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)

You can call your doctor, write a note, or let her know at the end of an appointment. Be honest but constructive. If your calls never make it past the receptionist, let her know that. If you need more specialized care, ask for a referral.

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