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When a physician decides to dismiss a patient, the patient should be notified in writing. The letter should be printed on office letterhead and sent by first-class mail and by certified mail with a return receipt requested.
If you know you will not be able to attend an appointment then please give as much notice as possible to the dental surgery so they can cancel your appointment and offer your slot to another patient. Your dentist can terminate your treatment if you miss your appointment without letting the dental surgery know.
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 requested. If its possible to describe the reason for the termination in a brief, clear, objective way, do so in the letter.
This letter is to advise you that I will no longer be available to provide medical services to you after (FUTURE DATE ALLOWING PATIENT REASONABLE TIME TO FIND ANOTHER PHYSICIAN). I will be available to treat you until (DATE FROM ABOVE), so that you will have access to care while you choose another physician.
Sample Dismissal Letter Dear [PATIENT NAME], It has become clear that our patient-dentist relationship has broken down. I am writing today to tell you that I am no longer able to be your dentist. We have had several discussions about your concerns about your existing amalgam (silver) restorations (fillings).
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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.
Here is a practical way to handle the situation: Discussion with the patient. Tell the patient that if his behavior does not change, that he will be discharged from the practice. Document patient discussions. Document the conversations with the patient about his behavior. Send a confirming letter.
There are many different examples of patient abandonment including: Failing to contact patients who miss appointments to follow up and schedule further treatment. Failing to communicate about urgent medical issues with patients. Scheduling appointments so far in the future that the patients condition deteriorates.

dental dismissal letter