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Evaluation

Does the physician want to terminate the official relationship with a patient?

Is there a physician-patient relationship between the physician and patient?

Has the physician sent written notification to the patient that the relationship is being terminated?

Is notification sent by a means the documents receipt by the patient?

Is the patient notified that care will be provided for up to 30 days after the date that the notification was sent?

Is the patient notified that medical records will be transferred to a new provider upon receipt of a signed authorization?

Is documentation of the notification and receipt by the patient maintained in the patient's record?

Results

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