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Steps in terminating the relationship Consider the circumstances, and if you think it is appropriate, inform the patient in person or virtually (including telephone and videoconferencing) of the decision to terminate. If you do not think a face-to-face meeting is advisable, send a letter to the patient.
If you would like to use Health Care Connect to switch to a new family health care provider, you must first take yourself off the patient list of your current one. There are two ways to do this: contact your family health care provider directly. call ServiceOntario 1-888-218-9929 ( TTY : 1-800-387-5559 )
Physicians should send written notice to the patient by certified mail, return receipt requested. The physician should continue to treat the patient until he or she has had a reasonable time to find an alternative source of care.
In order to do this, you and I must cooperatively and respectfully work together towards your health and well-being. It has become clear that because of [if appropriate, indicate reason], our physician-patient relationship has broken down, and this has made it difficult for me to continue providing quality care to you.
The physician should issue a written termination letter to the patient prior to the effective date of termination. The letter should clearly state a termination date (we suggest 30 days in advance) and the reason for termination.
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When the situation for dismissing the patient is appropriate, provide a formal written notice stating that you are withdrawing care and requiring the patient to find another practitioner. Mail the written notice to the patient by both first-class and certified mail with a return receipt requested.
Something like, I really appreciate all you have done for me, I know youve been doing your best here, or You helped me to get my treatment started in a positive direction. State why. Using I-phrases.
Leave on good terms in a non-confrontational way, says Wong-Rieger. Be clear [about] why youre leaving, and present the issues factually. Its important not to let emotions or judgmental feelings taint your message.
When a physician in a specific specialty is the only one available within a reasonable distance, the relationship may need to continue until the patient finds another doctor. This needs to be taken into consideration.
The Florida Medical Association (FMA) recommends to a practitioner who wishes to terminate a relationship that the practitioner should give the patient adequate notice in writing, and the practitioner should remain available to the patient for at least 30 days in order to allow time for the patient to find a new

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