Healthcare Doctor Sample Patient Patient Termination Letter Example

To patient termination letter write this type of letter to notify a patient that something is being terminated.

Healthcare doctor sample patient patient termination letter example. However if no response is forthcoming a termination letter can be sent. But doctors aren t the only people who can use free termination letters. Parents and colleagues to sick patients can write a termination letter to a healthcare requesting that their patient be discharged immediately. The physician patient relationship can be terminated for any non discriminatory reason with proper notice.

In a group practice specify if the terminated relationship is with one physician or all physicians in the practice. The doctor should direct the patient to healthcare resources and inform the patient of the procedures regarding his or her medical records. Sample this patient termination letter sample is written by a physician who has decided to end the doctor patient relationship based on a failure to keep appointments and to pay for the medical services. Place a copy of the termination letter in the patient s record within the patient documents folder.

The letter is provided by susan keane baker a consultant in risk management and patient relations based in new canaan conn. The physician should review the patient s health plan hmo contractual guidelines for discontinuing care of a patient and promptly notify them. Completed termination letter signed by medical director b. The medical practitioner has the responsibility of making sure that the welfare and security of the patient is the top priority.

This will avoid breach of contractual issues and or violation of laws governing hmos. Release of information form c. Notification that the physician patient relationship is being terminated. List of local physicians to whom the patient may choose to transfer their care 5.

The patient should be given adequate time to respond. For example if you are a medical office you might write this letter to a patient to inform him or her that you will be terminating your doctor patient relationship with him or her. A deadline for end of coverage from the date of the termination letter. Doctors can use patient termination letters to discharge patients from the hospital.

If the nonpaying patient is in the midst of active treatment such as a course of chemotherapy or dental work the provider should seek legal advice before sending any notice of termination. 7 patient termination letter templates word pdf google docs trust is the building block of a strong and healthy doctor patient relationship. The doctors company s department of patient safety and risk management is ready to assist you. Author a termination letter sample termination letter that contains the following.