10 0 obj <> endobj Additionally, if your practice provides notice of the grounds in the policy potentially leading to termination, it should reduce a claim of surprise or disbelief by a patient when he or she is discharged from the practice. This is an accessible sample insurance letter of termination template. Fill in the details about the cause for the release objectively and advise the patient of the need to find another provider. The reason for the terminateation should be clearly defined and objective in the letter as you can. 0000010464 00000 n HTKo@#=d1E The letter should include an effective date that is at least thirty (30) days beyond the date the letter is mailed. 0000006973 00000 n WebA sample discharge letter is included here for reference on page 4. 313 0 obj <> endobj 323 0 obj <>/Filter/FlateDecode/ID[<1F43DC0D1374F6468F2838EB280A7686>]/Index[313 26]/Info 312 0 R/Length 67/Prev 145192/Root 314 0 R/Size 339/Type/XRef/W[1 2 1]>>stream 8 Useful Organic Remedies Worth Considering For An Energy Boost, The Rise of Autism: How Parents Are Coping. Or, a hospital will discharge you to send you to another type of facility. 0000005708 00000 n 26 0 obj <>/Filter/FlateDecode/ID[<1D9D40F4CBEBD73EA344A499367015A5><94E32015F5BA79499AC3FECBE00A1CB2>]/Index[10 28]/Info 9 0 R/Length 87/Prev 77319/Root 11 0 R/Size 38/Type/XRef/W[1 3 1]>>stream 33 0 obj <> endobj how should the physician notify the patient that he or she is terminating care? A timely, safe and effective patient-centred discharge process depends critically on the quality of the information A small subset of payers require that you notify them when discharging a patient. Once a decision has been made to discharge a patient from the p ractice, the practice will need to notify the patient of the termination in writing. 0000000656 00000 n %PDF-1.4 % 0 Notify your staff about your moves 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. Licence Buisness Non Bylaws. This is primarily due to your successive failure to keep several appointments reserved exclusively for you. And, it stresses the hospital dentist's role in the patient's total care. 8+ Patient Termination Letter Templates Word, PDF, Google Docs, 1. When the patient discharges the physician orally, the physician may wish to send the patient a short letter confirming the patient's decision, and to retain a copy for the files. Journal of Animal Science - 1979 Near East/South Asia Report - 1984 Surgical Technologist Certifying Exam Study Guide - Asa 2013-01-01 "Questions written and reviewed by surgical How To Write A Problem Statement For Patient Care? Within those days, you can provide more sample notes of improvement. Date: 13 Jun, 2014. Circumstances may arise in your practice, however, when it becomes necessary to terminate a patient relationship. 0000101505 00000 n Webhealthcare providers must follow. 0000000016 00000 n It is essential to A hospital will discharge you when you no longer need to receive inpatient care and can go home. Use this insurance letter of termination template to inform a patient or client that their insurance coverage will terminate and how this will affect their healthcare costs. Dr. Joni Mitchell Family Office 1234 Main St. Los Angeles, CA 90002 (213) 123-4567 [email protected] August 23, 2022. This is an definitely simple means to specifically acquire guide by on-line. WebSAMPLE TERMINATION LETTER When you decide to end your relationship with a patient, inform him or her in writing and send the letter by certified mail, with a return receipt Regardless of why the patient is being terminated, the letter itself is straightforward and contains four elements: 4. Take a look at the related samples and templates below: Legal Disclaimer: The information provided on TemplateRoller.com is for general and educational purposes only and is not a substitute for professional advice. Copyright 2021 by Excel Medical. Notice of your decision to terminate your relationship with the patient should be given in the form of a letter, sent by both certified mail, return receipt requested, and regular mail with a copy of the letter placed in the patients chart. When things need to end, people should do it properly and amicably. Inappropriate prescribing requests. WebTo Patient Termination Letter. (c) Except where precluded by the actions of clients/ patients or third-party payors, prior to termination psychologists provide pretermination counseling and suggest alternative service providers as appropriate. Finally, including risk assessments, but less is abandonment. TemplateRoller.com will not be liable for loss or damage of any kind incurred as a result of using the information provided on the site. WebIn addition to that, it also includes a brief argument or opinion given by the one writing the summary. It can be patients who are verbally abusive, who do not pay for the medical services they receive, who miss their appointments for no reason or do not follow their care plan, and so on. Provide a formal written notice indicating you are withdrawing care and requiring that the patient speak with another practitioner. 0000005375 00000 n In order to best serve our policyholders, SVMIC is committed to the accessibility of our website. endstream endobj 32 0 obj<> endobj 33 0 obj<> endobj 34 0 obj<>/ColorSpace<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/ExtGState<>>> endobj 35 0 obj<> endobj 36 0 obj<> endobj 37 0 obj[/Indexed 43 0 R 255 45 0 R] endobj 38 0 obj<> endobj 39 0 obj<> endobj 40 0 obj<> endobj 41 0 obj<>stream In this case, it is a brief statement that includes the main points of a patients reason for being given the discharge. When a physician terminating care, he or she should notify the patient in writing and explain how long that particular treatment will last. Finally, including risk assessments, but less is abandonment. In other cases, the settled days or weeks can change concerning the status of the patient. On March 23, 2010, the 60-Day Rule was enacted as Section 6402 of the Affordable Care Act. 1. However, if done the right way, your practice will be better for it. Reach out gently. %PDF-1.5 % 0000003155 00000 n 48 0 obj<>stream WebI regret to inform you that I am discharging you as a patient from my medical practice as of [DATE 1]. " -FJ"&K0F4u*k b 2HP (2F"814$2 D7o>kOQRZJlXs *5vD]DqyOU3? WebAfter several missed appointments, consider sending the patient a letter stressing the importance of keeping the appointments and complying with the treatment plan. The notification itself 2. 0000000936 00000 n These include: patients in an acute phase of treatment; lack of other physicians, particularly specialists, to whom the patients care can be safely transferred; and third-trimester pregnancies or complicated second-trimester pregnancies. Discharging patients is not fun, but it is often prudent and necessary. For the past 20 years, he has worked in and consulted with physician practices in areas such as compliance, physician compensation, negotiations, strategic planning, and billing/collections. An appropriate reason to remove the patient from your practice would be if it were an appropriate time for dismissal. )-@)C#} "L,80iRj.kL3n6PJNVx;l2P!VT1I. Webbe in the form of a letter handwritten or typed or the completion of a clinical discharge summary form usually on paper, but in a few cases generated electronically through a clinical information system. Click the following links to download sample patient discharge letters. WebSample Patient Discharge Letter Fill PDF Online Download PDF A Patient Discharge Letter can be used when a medical specialist wants to discharge a patient from their Always keep tabs so you can adjust right away. |aKb.Dy\0K>;( z; @ZXW &U/.f$h^"iKY`Z#nby@3y#P5n;VMTL,4l;U_MuaHOJ85ONL 5kR toT-kFGx!Qu"]y In the dismissal letter, state how the patient can request a copy and/or how he can request it to be sent to another provider. 0000007646 00000 n Once you get the receipts, save them in the patients file. You are required to give the patient notice in writing of the termination under California law. Healthcare attorney, Rodney K. Adams recommends that this period be extended 45 days to 60 days if you practice in a specialty or geographic area where it may take patients longer to find another physician, or if you are providing current care for an ongoing condition. Through words of encouragement, you can compensate for the termination of the contract. DeI+^'Rk2& WebPRACTICE DISCHARGE LETTER Sample Discharge Letter (Oct 2019) Date Dear It has become clear that our philosophies regarding medical care differ greatly. endstream endobj 105 0 obj <>/Metadata 9 0 R/Outlines 20 0 R/PageLayout/OneColumn/Pages 102 0 R/StructTreeRoot 23 0 R/Type/Catalog>> endobj 106 0 obj <>/Font<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 107 0 obj <>stream startxref For that, you should settle on the day of the last meeting. Web8+ Patient Termination Letter Templates Word, PDF, Google Docs 1. 0 ;XB,gB,Gh]DScBXRdaW=GV+% 18 Patient: Please be advised that this practice will no longer be able to treat you as a patient as of (date). WebDischarge Letter From Mental Health Therapy Pdf Getting the books Discharge Letter From Mental Health Therapy Pdf now is not type of challenging means. WebSample Physician Leaving Practice Letter To Patients Pdf When somebody should go to the book stores, search instigation by shop, shelf by shelf, it is really problematic. : I am writing to formally discharge you as a patient from my medical practice. The Hippocratic Oath, originally from Greece, was one of the earliest forms of medical texts that talk about ethics in the medical sphere. Improperly abandoning a patient can result in serious consequences. Dear Bob, This letter is to formally notify you that as of October 1, 2022, I will no longer be able to continue providing your medical WebYou will be attended to by a team of doctors and nurses. Webphysician. %%EOF Just as patients who do not show up for appointments are breaching the physician-patient relationship, so too are patients who receive care but do not pay for it. The purpose of the document is to inform the patient that their doctor will no longer provide medical care for them. 0000001301 00000 n 0000001008 00000 n This is the (number) time you have missed an appointment without letting us know in advance. The formal letter needs to have the final dates of appointments or sessions. 0000003900 00000 n After all, caring for fellow people makes the world a better place. 0000003787 00000 n can a hospital refuse to discharge a patient? Asset protection attorney and regular Physicians Practice contributor Ike Devji and Anthony Williams, an investment advisor representative and the founder and president of Mosaic Financial Associates, discuss the impact of COVID-19 on high-earner assets and financial planning, impending tax changes, common asset protection and wealth preservation mistakes high earners make, and more. Webavailable to assume responsibility for the medical practice or patients 95 then notice of that fact written notice either by letter mail or secure email a sample letter of notice is, a must do list for the departing physician many states require that patients be notified when a physician is departing a practice leaving a practice can be a Legal Patient Notification Requirements Example 1: Fresh Off The Presses Example 2: Mail Call Example 3: Personal Touch in a Digital Format Example 4: Recommend Other Doctors Conclusion Legal Patient Notification Requirements I hinted at this section in the introduction of this blog post. (See Appendix A for a sample letter.) At least 30 days from the date of the letter, the expiration date must be specified. WebSample Letter After Surgery Thank you very much for downloading Sample Letter After Surgery . Sample Termination Letter. %%EOF In instances where there has been a breakdown in communication between a patient and a physician, it can allow the patient to seek care from another physician with whom the patient may be more compatible. Webpatient or another person with whom the client/patient has a relationship. HWrF}WL%`JqR/n9 Cr@c 3=+)URYAO_NV:H||ybFZkeF1K40BTQ!"^?zzjebp)Yb~G{db\'v>C'q]^ %PDF-1.7 % Health (5 days ago) WebHospital Discharge Template Use Template Previewing as: Customize this template and share it to collect e-signatures Shared by davidmjuarez in Consent Agreement Cloned 15,794 It is a good practice to always Jotform.com . I find that most patient terminations fall into one of four buckets: Patients who are verbally abusive or threatening to providers or staff; Patients who are noncompliant with their care - missing appointments and/or recommended testing; Patients who "doctor shop" and often are most interested in obtaining medications; and. HHS Proposed Rule electronic transactions and privacy rule enforcement action. A sample Patient Discharge Letter can be downloaded below. 0000109687 00000 n The effective date 3. Lucien W. Roberts, III, MHA, FACMPE, is administrator of Gastrointestinal Specialists, Inc., a 23-provider practice in Central Virginia. QOej;(%C In the letter, you must provide notice that the patient will no longer receive care from you at that time. Patient Termination Letter Due to Non Compliance, 3. As professionals in the field of medicine, its essential to uphold the value of being one of the trusted lifesavers. Sample Referral Letter From Therapist to Psychiatrist. Even though the hospital cant force you to leave, it can charge you for services if you remain there for longer than necessary. 31 18 (Date) Patient Name Address: Dear You failed to keep an appointment with me on (date here). We're always just an email or phone call away. Subject: Patient Dismissal Letter. It is not necessary to send a discharge letter via certified mail, notes Adams. Given the serious consequences of abandoning a patient, the decision to discharge a patient should be done with an articulable, and preferably well-documented, reason. I do not like it when other groups refer their "problem" patients to us, so I do not advise our problem patients to contact specific physicians or groups. <<65811A6D9831464CAB3B3EFBF534D777>]>> %PDF-1.5 % With that, doctors have to assure their patients that this change will be good for them. Physician Patient Termination Discharge Letter in Word, 7. Between this date and the date of this letter, I will still be able to provide you Requests to follow up investigations performed in other settings. hb```"nV[Ae9N5lysaHgWRWLIIdUz^pZEz=?y[Ie``ZZFGGHF8[L,[E333nb`hec:Sc-k|:b|&OFy&wqZ_f`bx#cT& Fc93ry3gh-PhP0g`)9r:o0 {P endstream endobj 57 0 obj <>>> endobj 58 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 59 0 obj <> endobj 60 0 obj <> endobj 61 0 obj <> endobj 62 0 obj [/Separation/PANTONE#202745#20U 64 0 R<>] endobj 63 0 obj [/Separation/PANTONE#20Hexachrome#20Black#20U 64 0 R<>] endobj 64 0 obj [/ICCBased 83 0 R] endobj 65 0 obj <> endobj 66 0 obj <> endobj 67 0 obj <> endobj 68 0 obj <> endobj 69 0 obj <>stream If a patient is referred to a surgeon for a single procedure, the professional relationship between the surgeon and the patient typically ends when the patient has fully recovered from the surgery. Justin Joy is an attorney with Lewis, Thomason, King, Krieg & Waldrop, P.C. You should document the patient's termination in your practice management system to alert your staff not to make appointments going forward. We think therapy is going along swimmingly, and then all of a sudden, our client stops showing up. In today's customer-review driven world, a patient believing that he/she has been improperly abandoned can quickly pick up the social media megaphone and create a significant reputational problem for a physician. WebSample Patient Discharge Letter [Practice Name] [Practice Address] [Practice Phone and Fax Number] [Letter Sent Date] [Patient Name] [Patient Address] Dear [Patient The contents may be different from one person to another, but the essence of thanking the patient is important. Despite the risk, there can be benefits to both the physician and the patient. It will extremely ease you to see guide Sample Physician Leaving Practice Letter To Patients Pdf as you such as. hZmo6%H(@ .j[E3#d,p8>bFB$,B&@.3hDdD DMB~d9L,1RC|) In this regard, it is necessary for you to know your rights and how to appeal. what are the legal steps a physician must follow to terminate the care of a patient? More patients are being discharged because they are unable to pay their bills. 0000000928 00000 n 0000002686 00000 n Free Medical Hospital Patient Termination Letter, 5. 71 0 obj <>stream Valentines 2023: How to Make Valentine's Day Romantic? WebUsing the sample letters and guidelines provided in this document will help minimize the risk of patient harm and of allegations of patient abandonment. When the patient discharges the physician orally, the physician may wish to send the patient a short letter confirming the patient's decision, and to retain a copy for the Again, the doctors are conscious of their conduct. As the doctors code, these physicians take an oaththe rite of passageto protect people, swearing to save the lives of those in mortal danger, and to do no harm towards their patients. Drafting the Notification Letter This is the only piece of information the GP receives about your patients entire admission (anything from 1 day to many months). HUr0+ptgRo=6PdV+[ZR|XO&@,":[A}*~epF@#lmEv_(2E9A>1T0(vC#&eT> s$a.NF a WhJd)y}KGCP. Our team is here to answer any questions you might have or to help you fill out a quote application. Breaking the news of termination is a difficult task. Beautifully Designed, Easily Editable Templates to Get your Work Done Faster & Smarter. endstream endobj startxref The letter contains the reasons for the dismissal, as well as the final parting words of the doctor to his patient. Discharge policies for sample patient. Cybersecurity highlights: The money mule and cybercriminals. You can also see more onService Termination Letters. Sample Discharge for Rudeness; Sample Discharge for Non-Payment; Sample Discharge for Non-Compliance; Sample Discharge for Doctor Shopping. Does it matter whether or not I am being kept m in the hospital against my will? WebSample Physician Leaving Practice Letter To Patients Pdf When somebody should go to the book stores, search instigation by shop, shelf by shelf, it is really problematic. ;O+>\'%9HVf!a-WkZYeR!6Vuo|7]o.z Overall, the relationship between doctors and patients is strict and critical. You do not need to provide a copy of your medical records with the termination letter. Send the letter through mail requesting them to receive a return receipt. Search for "healthcare" for matching templates. All Rights Reserved 2014 - 2022 Template.net. Dentists, therapists, and other medical personnel who choose to close ties with their respective patients utilize this particular sample letter as a suitable way of bringing an end to things. It's unfortunate, but it is a reality. c=w3,EBoyrE30jh+hx"d))@)+xu[GECEGsFczGG[H&P( ~i #*y\lSNj1bT0 FI8 Addresses all aspects of patient care from pre-admission to discharge and recovery. After reassuring the patient that their intimate thoughts and results have no chance of being public, you can start giving out the reason(s) for the termination of the contract. 0000009586 00000 n While each situation is unique and the decision to discharge a patient must be made thoughtfully on a case-by-case basis, having a documented policy in place helps your practice handle these difficult situations more consistently. The sample withdrawal from care letter (See sample letter B on page 4) can be adapted by physi-cians to discharge a patient and permanently A health care organization must be notified if it terminates a patient enrolled in their plan. hb```d``jb`f``h``@ 0x*) Regardless of nonpayers motivation, your first step is to send a reminder. 0 In this letter I inform you that by September 30, the provider will be no longer able to provide The reasons for the discontinuation depends on the agreement between the two groups. Licence Buisness Non Bylaws. Sample Patient Termination Letter Due to Non-Compliance, 6. can a hospital force a patient to be discharged? A breath of fresher air can make their lives easier. 0000005210 00000 n 0000002839 00000 n The expected length of this relationship varies based the type of care being provided. Document missed or cancelled appointments by noting either patient no-show or cancelled in the patients record. Download template letters DOCX/79KB. Patient Termination Letter Due to Non Provides the same information for the patient and Rodney K. Adams, JD,is a healthcare attorney with LeClairRyan in Richmond, Va. The letter should also include a clear direction to seek care from another physician promptly but, in the interim, until the effective date of the termination, care will continue to be provided in true emergency situations. Many hospitals have a discharge planner. WebDevelop a template for a dismissal letter. Our discharge letters simply say we are providing ample time for the patient to find another provider. Sample Letter to Patient Regarding Medicare Advantage Termination, How to Write a Formal Patient Termination Letter. Besides providing medical diagnosis about the patients health, they also have to keep the patients confidential medical records away from the hands of others. Endings can be terrifying for some people. endstream endobj 34 0 obj <>/Metadata 2 0 R/Pages 31 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences 49 0 R>> endobj 35 0 obj <>/MediaBox[0 0 612 792]/Parent 31 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 36 0 obj <>stream It explores the importance of the dentist as a member of the health care team. 0000003496 00000 n When doctors send a patient, who faces a medical crisis, without giving the patient proper notice, then they cant be allowed to do so. 0000016662 00000 n Generally, this type of letter is used when the doctor wants to terminate their doctor-patient relationship with their patient due to a particular reason. Notification . Physicians can customize The most reasonable notice for the patient is 30 days. 0000002305 00000 n endstream endobj 11 0 obj <> endobj 12 0 obj <> endobj 13 0 obj <>stream Dear Mr. 2. If the patient is apprehensive about the confidentiality of the conversations during appointments, you can highlight that all information has restrictions despite the end of the professional relationship. You can also include some notes on your appreciation for the efforts of the patient. 10 Managers of mental health services will be responsible for: bO#mN2vJcU You could not abandoned going when book addition or library or borrowing from your connections to right of entry them. endstream endobj 14 0 obj <>stream I suggest that you find another physician immediately to provide your medical needs. Dear Ms. Den, I am writing this with pleasure on behalf of the board of management and staff of Smile Medical Centre to inform you about the dismissal of a patient of Oral Surgery Department. hbbd```b`` d7d}&,`r1d6 ` R H2n$ 43Hh0 Zt: Our practice refills necessary prescriptions but otherwise avoids the provision of non-acute care during this period. The reason for the termination is [PICK THE ONES THAT APPLY]: hb```~E>c`0p\dp(*=l q `c`H@, dZ2,N^i/4#b>10Hq30&Am l $DcM:i8fUx4qXYI*8@+K]~p9 qLRaK_wig1*n[;'&7?eP6B.KY0X~]|tK*e:?;Avw*SgS FVWvFw&>-9\M[k\"gQ]xnEyjmB.a^nK$x6g0j U f 3'rya0lW.xy b4iw endstream endobj 70 0 obj <>stream Discharging patients without any decent goodbyes is discourteous. Webpatient. Free Patient Termination Letter Due To Behavior 2. 0000002284 00000 n 0000008308 00000 n Patient Safety and Quality - Ronda Hughes 2008 "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or Dealing with difficult patients will always be a challenge for any practice. H. WebMental Health Professionals helps you protect yourself, your future, and your practiceand lets you focus on the best interests of your clients. Justin has earned the Certified Information Privacy Professional/United States (CIPP/US) and Certified Information Privacy Technologist (CIPT) credentials through the International Association of Privacy Professionals (IAPP). I am terminating our physician-patient relationship based on numerous missed appointments and your continued failure to pay for the medical services provided. Cautionary tales ripped from the headlines. The reason for the termination 4. The objective is to simply make the patient aware that the bill is overdue. hbbd```b``j~ D27H|Iq`dtyH3H hLJFw s$ The guidelines for the mild patients admitted to a Covid Care Facility or under home isolation states that they "shall be discharged after at least 7 days have passed from testing positive and with no fever for three successive days." It ruled out the need for testing prior to discharge. 0000005674 00000 n For instance, if you have given warnings about absences or lates, then it should be part of the creative letter. He also provides counsel in healthcare liability defense, telemedicine, and healthcare compliance matters. Physicians Practice spoke with Kristina Hutson, a product line developer at Availity, about surprise billing events in independent healthcare practices and what owners and administrators can do to reduce the likelihood of their occurrence. No threats, no intimidation, Betancourt advises. Is a medical discharge considered honorable? A medical discharge is typically a general discharge under honorable conditions, but the severity and circumstances under which the medical condition began can impact the type of discharge you receive. A medical discharge isnt viewed negatively and doesnt interfere with benefit eligibility. 0000004181 00000 n 7-^ma|3>lk`x.dBM Vw=Hp*WY~e&1lr!J7,)Qkgpt& Bn?J}SwU!DYzYFqe*+O[V39uOlORV" He is the author of "Virginia Medical Law" and other publications and may be reached at Rodney.adams@leclairryan.com. Write this type of letter to notify a patient that something is being terminated. hb``c``2g```a@@,Ir\Jb@S2*22Er?(5 l#Q U~ As long as a professional relationship exists between a physician and a patient, there is a legal duty on the physician not to abandon the patient. Is Chiropractic Assistant Considered Patient Care Experience? At the point of discharge, you can choose to see the specialist at your follow-up visits as a private patient or remain under the care of a team of doctors at the subsidised clinic. 37 0 obj <>stream Letter to hospital provider regarding discharge of patients after missed appointment. 121 0 obj <>/Filter/FlateDecode/ID[<385F02A29AF1144994EDF05DD4A201EA><4AB769F88662AC47852C6085B0A67108>]/Index[104 45]/Info 103 0 R/Length 87/Prev 32650/Root 105 0 R/Size 149/Type/XRef/W[1 2 1]>>stream And, it stresses the hospital dentist's role in the patient's total care. (h-(V"16J&Y$&PTP4rc5oMOI). 0000009908 00000 n When the patient is not polite or continues to show mistrust with the doctor, it can reach a premature termination with the sample contract. If the patient calls for an Webhealthcare providers must follow. 0000001852 00000 n I will still provide you medical services until November 30st, 2020. %%EOF 0000003326 00000 n 31 0 obj <> endobj 0000005885 00000 n s|$G:kPJr_Nkd:r&(` A conversation with your physician prior to leaving should clarify whether you would like to go with or without your treatment. iR/[/ @I[ _%p H7G7tzKwtw_?dg*|{@a vey6&V It takes just one problem or inconvenience to affect thepatients experience at your practice. Are Instagram Influencers Creating A Toxic Fitness Culture? hTYo@+ Instead of providing a specific referral, patients should be referred to a local medical association or online directory of physicians in the area. The letter should not contain legalese or difficult terms but should be written in a manner that would not provide grounds for embarrassment for your practice, or worse, if the letter is posted online by the patient. hb``e``b```dP #0p4 B1c7 s_fa8f W_2SA The medical practitioner has the responsibility of making sure that the welfare and security of the patient is the top priority. Although the letter is about ending the professional services, you still have to point out happy and positive thoughts.

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