Broward Florida Sample Letter for Termination of Physician's Care - Physician to Patient
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How to fill out Sample Letter For Termination Of Physician's Care - Physician To Patient?
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FAQ
In the letter, I stated that it would be necessary to terminate our physician/patient relationship if we did not hear from you. Since we have not heard from you, please be advised that I will no longer be able to treat you as a patient.
Refer the patient to his or her health insurance company's list of providers, county medical society, or a physician-referral service. Include an authorization for the release of the medical record. Advise the patient to designate the new physician, sign the form, and send it to your office.
As we discussed, I find it necessary to inform you that I will no longer be able to serve as your doctor as of (date at least 30 days from date of letter). The primary difficulty has been (indicate general reason, e.g., your failure to cooperate with the medical care plan, your behavior toward my staff, etc.).
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)
Justifiable reasons include loss of hospital privileges, licenses, or participation status with insurance providers. You will also have just cause if the physician breaches the contract or demonstrates willful misconduct.
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.
The written notice terminating this relationship should be explicit in stating the reason you are no longer willing to provide carethat the patient's outcome is predestined to be unfavorable because of the willful nonadherence with recommended treatment plans.
The medical termination letter format should include a reason for the termination, the date of the termination, and the amount of time you will continue to provide care for the patient. Include supporting evidence for the decision, especially if the decision is based on the undesirable actions of the patient.
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.
Patients who do not pay for the care you provide. Begin with a straightforward sentence stating the patient is being discharged from the practice. The letter should include an effective date that is at least thirty (30) days beyond the date the letter is mailed. Healthcare attorney, Rodney K.
