Free Sample Doctor-Patient Termination Letter Template

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Free Sample Doctor-Patient Termination Letter Template

Sample Doctor-Patient Termination Letter


Date: January 8, 2090

Company: [Your Company Name]
Address: 789 Wellness Blvd
Townsville, State 67890
Email: [Your Email]

To: Sarah Miller
321 Patient Lane
Townsville, State 67890


Dear Ms. Miller,

I hope this letter finds you well. After careful consideration, I am writing to inform you that, effective as of February 8, 2090, I will no longer be able to provide medical services to you. This decision has been made following various factors, including your repeated non-compliance with prescribed treatment plans and missed appointments, which have made it difficult to continue our provider-patient relationship.

While I understand that this may come as a disappointment, I want to assure you that your healthcare is important. Therefore, I am happy to provide referrals to other providers in our area who can assist with your continued care. Please feel free to contact my office at (555) 987-6543 or via email at [Your Email] for assistance with finding a suitable replacement.

Please ensure that you have made arrangements for your medical records transfer, should you require them. You may contact my office to facilitate this process.

Thank you for your understanding, and I wish you the best of health in the future.

Sincerely,

[Your Name]
Chief Medical Officer

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