Free Abusive Patient Termination Letter Layout

[Date]
To: [Patient’s Full Name]
[Patient’s Address]
[City, State, Zip Code]
Re: Termination of Care
Dear [Patient’s Name],
We are writing to inform you that, effective [Date], we will no longer be able to provide medical services to you. This decision has been made after careful consideration and is a result of your recent behavior that we consider to be abusive. As a medical practice, we are committed to maintaining a professional and respectful environment for both our staff and patients. Unfortunately, your conduct during recent interactions has made it impossible for us to continue our patient-provider relationship.
The specific incidents that led to this decision include [briefly outline specific behavior/instances of abusive conduct]. We take these matters seriously and must ensure the safety and well-being of our staff and other patients.
Please be advised that we are providing you with the following information to ensure a smooth transition to a new provider:
Referral to Other Providers: You may contact [List any referrals or alternative providers] to arrange for continued medical care. We will be happy to forward your medical records to the new provider upon receiving a signed release form.
Medical Records: You have the right to request a copy of your medical records. Please contact our office at [phone number or email] to make a request.
Emergency Care: We will continue to provide emergency care in situations that require immediate medical attention until you have secured a new healthcare provider.
We regret that we must take this step, but it is necessary for the well-being of everyone involved. Should you have any questions or concerns, please do not hesitate to contact our office.
Sincerely,
[Your Name]
[Your Title]
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Protect your practice with the Abusive Patient Termination Letter Layout Template at Template.net. This editable and customizable template ensures clear and professional communication in sensitive situations. Easily editable in our Ai Editor Tool, it balances firm language with respect, making it an essential tool for managing patient relations.
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