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
-
Greeting:
-
Address the patient formally (e.g., "Dear Patient’s Name,")
-
-
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
-
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)
-
-
Importance of Compliance:
-
Discuss the need for a mutually respectful and legal provider-patient relationship
-
3. Next Steps for the Patient
-
Transfer of Medical Records:
-
Provide instructions on how the patient can request the transfer of their medical records to a new provider
-
-
Referral to Other Providers:
-
Suggest alternative healthcare professionals or facilities
-
-
Emergency Care:
-
Clarify that the patient will receive emergency care as required until they establish care with a new provider
-
4. Conclusion
-
Expression of Gratitude:
-
Thank the patient for their time and cooperation during the treatment period
-
-
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)