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

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Multi-State
Control #:
US-0237LR
Format:
Word; 
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This form is a sample letter in Word format covering the subject matter of the title of the form.

How to fill out Sample Letter For Termination Of Physician's Care - Patient To Physician?

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FAQ

If you don't feel comfortable giving feedback face to face, consider sending a letter that explains why you're changing doctors, Blackwelder says. There's no guarantee that your letter will change the doctor's bedside manner, but you never know, so it's worth doing, he says.

Removal from a doctor's practices requires a very specific protocol be followed. The colleges say the doctor must have a bona fide reason for termination, and must tell the patient clearly. Ideally, it's done in person. The doctor must also write a termination letter, which is handed to the patient during the visit.

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)

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.

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.

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.

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.

How to Write a Patient Termination Letter Due to Non-ComplianceGet straight to the point. Don't beat around the bush.Provide the reason(s) for the discharge.Give the patient a clear, dated deadline to find a new provider.Mention emergency care.Offer to transfer medical records.

Physicians are reminded that patients may continue to de-roster themselves by contacting the Service Ontario INFOline at 1-800-267-8097.

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