Free Internal Medicine Patient Termination Letter Template
Internal Medicine Patient Termination Letter
Date: January 15, 2060
To: Daniel Ford
456 Oak Street
Greenwood, IL 60000
Dear Mr. Daniel Ford,
I am writing to inform you that, effective February 15, 2060, our professional relationship will be terminated, and I will no longer be providing medical services to you.
This decision has been made after careful consideration. Unfortunately, despite our efforts to address your ongoing non-compliance with prescribed treatments and missed appointments, it has become clear that we are unable to continue our physician-patient relationship under the current circumstances. We have made numerous attempts to address these issues with you, but the situation has not improved.
Please be advised that this is a final decision, and we are no longer able to continue offering care. We strongly encourage you to seek a new internal medicine provider as soon as possible to ensure that your medical needs are met without interruption.
Should you need assistance with finding a new physician, please do not hesitate to contact us, and we will be happy to provide recommendations.
Your medical records are available to you or your new physician upon request, and we will ensure a smooth transfer of your records to facilitate continued care. Please contact our office at (555) 123-4567 or via email at [Your Company Email] for any further assistance.
We regret that this action was necessary and wish you the best in your continued healthcare journey.
Sincerely,
Dr.[Your Name]
Internal Medicine Specialist
HealthCare Associates
