Patient Termination Letter Sample

A deadline for end of coverage from the date of the termination letter.

Patient termination letter sample. 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. When the medical practitioner wants to dissociate himself or herself from the patient and end appointments or sessions they send this type of letter. The letter should be printed on officeletterhead and sent by first classmail and by certifiedmail with a return receipt requested. Clarification that the physician is available to provide care.

Instantly download free patient termination letter due to behavior template sample example in microsoft word doc google docs apple pages format. Employee termination letter made easy with 4 samples template. Patient dismissal patient dismissal law malpractice operations difficult patients. The doctor should direct the patient to healthcare resources and inform the patient of the procedures regarding his or her medical records.

Sample patient dismissal letter. 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 provided. A termination letter notifies an employee that he or she has been fired lists the next steps they need to take and explains the benefits or compensation they are due to receive. Physicians can adapt the following sample letters.

Available in a4 us letter sizes. 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. The letter is provided by susan keane baker a consultant in risk management and patient relations based in new canaan conn. The letter will allow the patient to know the details of the termination and what steps or actions he must take in lieu of it.

When the physician decides to dismiss a patient the patient should be notifiedin writing. Author a termination letter sample termination letter that contains the following. A patient termination letter is a type of document that medical institutions clinics and health insurance companies use to inform a patient about the termination of either his benefits or a patient provider relationship. Easily editable printable.

Termination letters are also called a pink slip. Notification that the physician patient relationship is being terminated.