Indiana Sample Letter for Termination of Physician's Care - Patient to Physician
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How to fill out Sample Letter For Termination Of Physician's Care - Patient To Physician?
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FAQ
A patient can end the relationship by giving the physician oral or written notification. Physicians should document this notification in the patient's chart. It may be prudent to send the patient an acknowledgment that he or she has terminated the doctor-patient relationship, and then retain a copy of the letter.
Thanks for your good care and concern2026 Your 'manner' put me at ease and helped me gain confidence. Because of you, I am doing very well. You are truly a remarkable doctor and professional that we respect and trust.
How do you end a message to a doctor? Thank you so much for the difference you make in the lives of your patients! Your kindness, sincere caring, and concern make everything better and are a great encouragement. Thank you so very much for taking care of me and being so skilled at what you do.
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.
Always address them by their last name unless they gave you permission to use their first name. For example, if their name is Dr. Kevin Smith, you would write Hi, Dr.
Sincerely, (Physicians name and signature) Your licensed provider must complete, sign and date the letter.
Write "Dear Dr." and the doctor's last name on the top line of the letter itself. For example, begin your message with, "Dear Dr. Williams." Use this prefix for those with doctorates, too, unless the person has specifically told you to avoid doing so.
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. If the letter is returned unclaimed, mail it again.
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.
Even though physicians retain the legal right to dismiss patients in many situations, there are some circumstances when it's not only unadvisable but unethical and, depending on the state where it occurs, illegal and punishable both by law and by censure.
