Patient Termination Letter Due To Behavior

Sending a letter is one way to start the process of discharging a patient for their problematic behavior. Check out our Free Patient Termination Letter Due To Behavior Template to help you get started. It already has ready-made written content that can guide you in the write-up of your letter. 

PATIENT TERMINATION LETTER DUE TO BEHAVIOR

[DATE]

Dear. [RECIPIENT NAME],

I regret to inform you that I am discharging you as a patient from my medical practice as of [DATE 1]. Between this date and the date of this letter, I will still be able to provide you with emergency care as you require until you can find another practice to provide you with the treatment you need.

I do not like to terminate patients. However, you have been rude and disrespectful to me and to my staff. We find it hard to deliver the care you need when you are constantly displaying such demeanor.

[DETAIL]

I will send a copy of your medical record to your new provider upon receipt of a signed request. 

Regards,

[YOUR SIGNATURE]

[YOUR NAME]