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SAMPLE: Withdrawal letter

Dear Mr. Doe:

I find it necessary to withdraw from providing you further chiropractic care because you have persisted in refusing to follow my advice and treatment. Since your condition requires professional attention, I suggest that you place yourself under the care of another doctor without delay.

I will be available to treat you for a reasonable time after you receive this letter, but in no event for more than 14 days.

This will give you ample time to select another doctor of your choice from the many competent practitioners in the area. To assist you in receiving additional care, we will make copies of your records available to your new doctor, without charge, as soon as you sign and return the enclosed authorization.

If it will assist you, we will suggest the names of two or more doctors and assist you in making an appointment.

Sincerely,
Richard Roe, DC

   
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