Utah 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.

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FAQ

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-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.

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.

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.

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.

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.

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.

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)

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