Sample Patient Termination Letter Format

Sample Patient Termination Letter Format

[Below briefly describe on Sample Patient Termination Letter Format. In the case of the hospital’s termination letters, it is addressed to the patients. Before being admitted to the hospital, a legal contract is signed between the doctor and the patient. It consists of the payment details, medication details, etc. You can make changes as per your requirements.]


Sender/Hospital Authority Name…

Administration/Job Designation…

Hospital Name…

Date: DD/MM/YY (Letter is written on this very date)


Patient Name…

Cabin/bed no.

Subject: Termination Letter for the patient

Respected Sir,

This letter is to inform you (he is being terminated) due to (reason for termination). (Describe in your words). I will no longer serve you with my treatments. (Describe actual cause and situation, e.g., your leave, transfer, misbehave etc.)

I request you to shift to another health care provider. (Describe all about the situation). I will treat you for next (mention period) In the meantime I request you to make the necessary arrangements for your transfer. (Cordially describe your greetings and requirements).

I wish you the best of health. Thank you.

Yours sincerely,

Your Name…

Contact info. and signature…


Another format, [Email Format]

To: Receiver mail address,

From: Sender mail address,

Sub: Termination of the patient.

Respected Sir,

It is on my part to inform you, on behalf of our hospital, that you are being terminated from our hospital due to your misbehavior with the staff of our hospital. (Describe the actual cause and situation). Our hospital will no longer tolerate it. So, we request you to transfer to another health care provider or hospital. (Describe in your words). I will provide you my treatment for the next 5/7 days, i.e., till (date). Make the necessary changes and arrangements that you will need for another hospital. (Describe all about the situation).

Your condition is a bit critical at this stage. You will need close observation for a few days. (Explain the current position of treatment). If you may need, (management authority) may be able to introduce you to a new doctor. You can also contact your insurance agent to help you transfer to an appropriate hospital. (Cordially describe your greetings and requirements).

We have your medical report ready. If requested or required by another doctor, we will send the reports.

We wish you a soon recovery.

Best Regards,

Your name…


Hospital Name…