Dismissal Letter Dental Patient Sample with Examples [Word]

A Dismissal Letter to Dental Patient is a communication from a dental practice informing a patient that their relationship with the practice is terminated. This decision to dismiss a patient is typically made for specific reasons, and the letter serves as a formal notification of the dismissal.  

It's important for a Dismissal Letter to be clear, professional, and legally compliant. It should state the reasons for dismissal, any outstanding matters (such as unpaid bills), and offer guidance on the patient's future dental care. The letter serves as a formal and documented communication to officially end the dentist-patient relationship. 

Sample Dismissal Letter To Dental Patient with Examples [Word Editable]

Here are common uses and reasons for issuing a Dismissal Letter to a Dental Patient: 

• Non-Compliance with Treatment Plans: If a patient consistently fails to follow prescribed treatment plans, adhere to appointments, or comply with dental care instructions, the dental practice may decide to dismiss them.  
• Unpaid Bills or Outstanding Balances: Failure to pay for services rendered or accumulating unpaid bills can lead to a patient's dismissal.  
• Inappropriate Behavior: Instances of disruptive, disrespectful, or inappropriate behavior towards dental staff or other patients may warrant dismissal.  
• Failure to Keep Appointments: Chronic failure to keep scheduled appointments without proper notice can disrupt the dental practice's schedule.  
• Refusal of Recommended Treatment: If a patient consistently refuses necessary and recommended dental treatments, and their oral health is at risk, the dental practice may decide to dismiss them.  
• Fraudulent Activities: If a patient engages in fraudulent activities, such as providing false information or attempting to deceive the dental practice for personal gain, a Dismissal Letter may be issued to terminate the relationship. 
• Violation of Practice Policies: Patients are typically required to adhere to the policies and procedures of the dental practice.  
• Relocation or Transfer of Care 
• Incompatibility with Practice Philosophy 
• Emergency Treatment Only: In situations where a patient's oral health condition is beyond the scope of the dental practice's capabilities, a Dismissal Letter may be issued, and the patient may be advised to seek specialized care.