Free 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)

Letter Templates @ Template.net