[Your letterhead, if desired; if not, your return address]
[Date of letter-month, day, and year]
[Recipient's first and last names]
[Street or P.O. box address]
[City, State ZIP code]
Dear [recipient's name]:
I am writing to notify you that effective immediately, I am terminating my medical treatments through your offices. I have put a great deal of research, thought, and consideration into this decision and believe that this is the most prudent approach for me to take at this time.
Please let me know if there are action steps I need to complete, including any follow up on billing issues, in order to finalize this termination of medical treatments. Thank you for your prompt attention to this important matter, and thank you for the medical services you have provided to me.
[Sender's first and last names]