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

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

Subject: Termination of Physician's Care — Patient to Physician Dear [Physician's Name], I hope this letter finds you well. First and foremost, I would like to express my gratitude for the care and attention you have provided to me as your patient over the past [duration] years. However, after careful consideration and discussions with other medical professionals, I have made the difficult decision to terminate my care under your supervision. North Carolina law allows patients the right to choose their healthcare provider, and as a patient, I believe it is crucial to have a physician with whom I have complete trust and confidence. As such, I have decided to seek a new physician who aligns more closely with my current healthcare needs, preferences, and personal circumstances. I would like to emphasize that this decision is not a reflection of any dissatisfaction with your medical expertise or the quality of care provided by your esteemed practice. Rather, it is solely a matter of personal choice, based on my unique circumstances and the need for a fresh perspective on my healthcare management. I understand the importance of continuity of care, and I assure you that I have already taken the necessary steps to ensure a smooth transition between physicians. I have secured the services of a new physician, Dr. [New Physician's Name], who is highly recommended by my trusted healthcare network. In order to facilitate a seamless transfer of pertinent medical records and information, I kindly request that you please provide me with a copy of my complete medical records, including diagnostic test results, notes from consultations, and any other relevant information. I understand that this may incur a reasonable fee for the copies, and I am prepared to cover the associated costs. I urge you to kindly initiate the process of transferring my medical records as soon as possible to avoid any disruption in my healthcare. Please provide the records directly to me or to Dr. [New Physician's Name] at their practice address mentioned below: [New Physician's Name] [Practice Name] [Practice Address] [City, State, Zip Code] Alternatively, if there is a preferred method or format for transferring medical records, kindly inform me so that I may fulfill the necessary requirements promptly. I would like to take this opportunity to thank you once again for the care and attention I have received under your guidance. I am grateful for the positive impact you have had on my health and well-being. Your professionalism, dedication, and expertise have been greatly appreciated throughout our doctor-patient relationship. Should future circumstances change, I will not hesitate to reach out and re-establish a doctor-patient relationship with you. Until then, I wish you continued success in your medical practice and the well-being of all your patients. Thank you for your understanding and cooperation. Sincerely, [Your Full Name] [Your Contact Information]

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FAQ

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.

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.

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.

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)

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.

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.

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.

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Regardless of the state you are in, best practice for physicians isnotice to their patients regarding changes in practice or closure. But although physicians retain the legal right to dismiss patients in most casesBefore dismissing a patient from a medical practice engage in an honest ...Bradley, MD, founded the practice in 2001 with the mission of providing efficient, cost-effective, and considerate care to all patients. Our practice offers a ... How Can a Physician Properly Terminate the Physician-Patient Relationship? · give the patient proper notice that the physician is terminating the physician- ... Send a written letter to the patient confirming his or her termination from the practice. We suggest sending the letter by both regular mail and ... "The doctor cannot in good conscience go against good medical practice." Yet instead of discharging patients like this, many physicians suffer ... To use this form, and North Carolina law allows the use of other forms thatand consistent manner, to my health care agent or my health care provider.7 pages to use this form, and North Carolina law allows the use of other forms thatand consistent manner, to my health care agent or my health care provider. In 2018, a group of 88 physicians left Atrium Health in Charlotte to form Tryon Medical Partners, a practice that now counts nearly 100,000 ... OverviewPatient InformationVisitor InformationInsurance and Billing1 of 4Located in Pinehurst, N.C., it is the flagship hospital for FirstHealth ofof 287 physicians, a professional staff of more than 2,700 and an average of ...Continue on »2 of 4Helpful Resources: Inpatient Handbook · Outpatient Handbook. You should bring the following items with you on the day you arrive: Your health insurance card; Personal identification (such as a driver'Continue on »3 of 4Visitation Restrictions in Effect Due to COVID-19. FirstHealth of the Carolinas strives to create a patient-centered setting and promote healing. An important part of the healing process is patient viContinue on »4 of 4We are committed to working with you, your doctor and your insurance carrier to make sure you have full access to all the services provided by FirstHealth. Our staff is here to help, so you can focus Continue on » Located in Pinehurst, N.C., it is the flagship hospital for FirstHealth ofof 287 physicians, a professional staff of more than 2,700 and an average of ... participating physicians, hospitals, laboratories, pharmacies,Your patient record in NC HealthConnex will include information about ...

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