Free Patient Legal Issues Outline Termination Letter Template

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Free Patient Legal Issues Outline Termination Letter Template

Patient Legal Issues Outline Termination Letter


[Date]

[Your Name]

[Your Company Address]

[EYour Company Email]

Subject: Termination of Patient-Provider Relationship


1. Introduction

  1. Greeting:

    • Address the patient formally (e.g., "Dear Patient’s Name,")

  2. Reason for the Letter:

    • Explain the purpose of the letter (e.g., to notify the patient of the termination of the provider-patient relationship due to legal issues)


2. Explanation of Termination

  1. Legal Grounds:

    • Briefly mention the specific legal issues that led to the termination (e.g., non-compliance with treatment, failure to meet legal requirements, violations of office policies)

  2. Importance of Compliance:

    • Discuss the need for a mutually respectful and legal provider-patient relationship


3. Next Steps for the Patient

  1. Transfer of Medical Records:

    • Provide instructions on how the patient can request the transfer of their medical records to a new provider

  2. Referral to Other Providers:

    • Suggest alternative healthcare professionals or facilities

  3. Emergency Care:

    • Clarify that the patient will receive emergency care as required until they establish care with a new provider


4. Conclusion

  1. Expression of Gratitude:

    • Thank the patient for their time and cooperation during the treatment period

  2. Final Contact Information:

    • Offer to assist with record transfer and any other follow-up needs


5. Closing

  • Formal Sign-Off:

    • Sincerely,

    • [Your Name]

    • [Your Title/Position]


Enclosures

  • Medical Records Transfer Form (if applicable)

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