[date] [insert patient name] [insert patient address] [insert patient city, state, zip] dear (patient): Web however, after careful consideration and review of our professional relationship, we regret to inform you that we will no longer be able to provide dental care to you. This decision was not made lightly and is based on the following reasons: Web we will forward a copy of your dental records to you or your new dentist upon receiving a signed written authorization request. Sample letters for patients you must dismiss from your dental practice.

Web the discharge letter should include: Dear patient, over the course of your recent visits, i have frequently stated my objection to proceeding with your Also detail the number of days you will be available to treat the patient in the event of an emergency. [insert or write the name of the sender] [insert or write the job title of the sender] [insert or write the full name of the entity] [insert or write the date] to, [insert or write the full name of the recipient] [insert or write the job title of the recipient] [insert or write the full name of the entity]

Dear (patient), we have contacted you on several occasions with monthly statements, telephone messages and a personal letter. Sample letters for patients you must dismiss from your dental practice. A description of any urgent dental problems the patient may have, including, if appropriate, a time frame within which the patient should be seen by another dental practitioner, and the potential implications or consequences if treatment is not received.

A description of any urgent dental problems the patient may have, including, if appropriate, a time frame within which the patient should be seen by another dental practitioner, and the potential implications or consequences if treatment is not received. Web letters to patients. Web we will forward a copy of your dental records to you or your new dentist upon receiving a signed written authorization request. Download the printable version here. Sample letters for patients you must dismiss from your dental practice.

Explanation of the dismissal process; Please clearly indicate whom you wish to receive a copy and where you wish us to send the records. Web patient dismissal letter.

Photo 4363143 © Jorge Salcedo | Dreamstime.com.

It’s important that you give the patient reasonable notice of the dentist’s intent to dismiss them, as well as why they are being dismissed. A description of any urgent dental problems the patient may have, including, if appropriate, a time frame within which the patient should be seen by another dental practitioner, and the potential implications or consequences if treatment is not received. A dental dismissal letter for missed appointments is a formal communication sent by a dental practice or dentist to a patient who has a history of missing dental appointments without valid reasons or adequate notice. Patient’s full name and contact information;

The Following Is An Example.

We will forward a copy of your dental records to you or your new dentist upon receiving a signed written Web however, after careful consideration and review of our professional relationship, we regret to inform you that we will no longer be able to provide dental care to you. Web develop a template for a dismissal letter. Web we will forward a copy of your dental records to you or your new dentist upon receiving a signed written authorization request.

Download The Printable Version Here.

Why would a dentist dismiss a patient? Williams, i am writing this letter to inform you about the. Details on continuing care options and. Web it’s a process that can be emotionally fraught and tricky.

Web Essential Elements Of A Dismissal Letter.

Some patients are a drain on the practice and it is best to cut ties with them. Explanation of the dismissal process; Dear patient, over the course of your recent visits, i have frequently stated my objection to proceeding with your Web the mlmic legal department has sample dental patient dismissal letters which can be modified for your use in discharging patients from your care.

Web letters to patients. Web the mlmic legal department has sample dental patient dismissal letters which can be modified for your use in discharging patients from your care. Web patient dismissal letter. Any discussion with the patient about dismissal should be handled personally by the dentist. Photo 4363143 © jorge salcedo | dreamstime.com.