This professionally drafted patient discharge letter provides clear documentation for terminating a patient relationship due to non-payment of services. Ideal for licensed healthcare providers, this letter maintains legal compliance and patient respect by offering a 30-day emergency care window and outlining steps for transferring medical records. Fully customizable, it includes placeholders for balance due, provider name, discharge date, and follow-up instructions—ensuring both ethical standards and financial policies are upheld.

Download now to implement a firm but fair patient discharge process that protects your clinic and maintains professionalism.