US Legal Forms - one of the largest repositories of legal templates in the United States - provides a diverse selection of legal document templates that can be downloaded or printed.
Using the website, you can find thousands of forms for business and personal purposes, organized by categories, states, or keywords.
You can locate the most recent versions of documents such as the Wyoming Sample Letter for Termination of Physician's Care - Patient to Physician in a matter of minutes.
If the form does not suit your requirements, utilize the Search box at the top of the screen to find the one that does.
Once satisfied with the form, confirm your choice by clicking the Get now button. Then, choose your payment plan and provide your information to register for an account.
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.
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.
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.
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 inform you that I am no longer willing to be your primary care physician. The reason for this decision is describe reason briefly, or omit this sentence. Our office will continue to direct your care for any emergencies that arise over the next 30 days.
Non-compliance with the treatment plan, rude, abusive behavior, repeatedly not showing up for appointments, drug-seeking behavior, and non-payment of services rendered are all reasons physicians terminate their patient relationships.
Include something like:Respectfully,Respectfully yours,Sincerely,Best wishes,All the best,Warm regards,Consider to whom you're writing.Consider the purpose of the letter.More items...
D., the salutation should be "Dear Dr. Smith:". If you are asked to respond to a medical doctor, address the letter and envelope to Edward Smith M.D., but the salutation should read, "Dear Dr. Smith".
If the patient does not contact the office after the first letter, send a second letter stating that the physician-patient relationship has been terminated. Both letters should be printed on office letterhead and sent by first-class mail and by certified mail with a return receipt requested.