Healthcare Doctor Sample Patient Patient Termination Letter Example

7 patient termination letter templates word pdf google docs trust is the building block of a strong and healthy doctor patient relationship.

Healthcare doctor sample patient patient termination letter example. The medical practitioner has the responsibility of making sure that the welfare and security of the patient is the top priority. Notification that the physician patient relationship is being terminated. The doctor should direct the patient to healthcare resources and inform the patient of the procedures regarding his or her medical records. The patient should be given adequate time to respond.

To patient termination letter write this type of letter to notify a patient that something is being terminated. The physician should review the patient s health plan hmo contractual guidelines for discontinuing care of a patient and promptly notify them. Sample this patient termination letter sample is written by a physician who has decided to end the doctor patient relationship based on a failure to keep appointments and to pay for the medical services. A deadline for end of coverage from the date of the termination letter.

Place a copy of the termination letter in the patient s record within the patient documents folder. Doctors can use patient termination letters to discharge patients from the hospital. We can discuss patient dismissal issues with you send you sample letters or help you develop special letters. The physician patient relationship can be terminated for any non discriminatory reason with proper notice.

This will avoid breach of contractual issues and or violation of laws governing hmos. The doctors company s department of patient safety and risk management is ready to assist you. Use this sample patient dismissal letter if you are forced to dismiss a patient from your practice for a variety of reasons including consistently failing to keep appointments. For example if you are a medical office you might write this letter to a patient to inform him or her that you will be terminating your doctor patient relationship with him or her.

Parents and colleagues to sick patients can write a termination letter to a healthcare requesting that their patient be discharged immediately. The letter is provided by susan keane baker a consultant in risk management and patient relations based in new canaan conn. List of local physicians to whom the patient may choose to transfer their care 5. Completed termination letter signed by medical director b.

Release of information form c. Sample patient dismissal letter. However if no response is forthcoming a termination letter can be sent. In a group practice specify if the terminated relationship is with one physician or all physicians in the practice.