Therapy Termination Letter Sample

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Janice Hetler

Physical Therapist

Joyful Therapy

100 Main Street

New Parkland, CA, 91010

September 1, 2014

Gwen Sampson

100 Broadway Lane

New Parkland, CA, 91010

Dear Ms. Sampson,

It is with regret that I must inform you that I will be severing our therapy arrangements effective immediately. This was a decision made after much consideration and due to your own inability to maintain your appointment schedule.

When you first came to me, I was required to keep your physician and your insurance company up to date on your progress. After the first two months, everything was going fine and you seemed to be making progress. But in the past three months, you have only kept one appointment and I am getting pressured by the insurance company to severe our relationship.

I do not know if the insurance company is still compensating you for your injuries and that is why they are pressuring me to severe this relationship, but I am confident that it is none of my business. My practice can no longer afford to take the kind of scrutiny it has received lately and that is why I am severing the relationship immediately.

If you have any questions, you can call our office at 555-323-4323 or email me at

Sincerely Yours,

Janice N. Hetler

Physical Therapist

Joyful Therapy

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