February 1, 2020
I appreciate the trust you have shown in allowing me to provide for your medical care.
It has been a pleasure to serve as your plastic surgeon in Fort Worth for the past 12 years. At this time, I am announcing the relocation of my practice to Fort Collins, CO. The office will officially close on March 31, 2020.
Your medical records are confidential. If you wish to obtain a copy of your medical records or would like to have a copy transferred to another physician, please complete the attached authorization form and return it to the office prior to March 15th. The office will be open until March 31st for patients to pick up medical records. After March 31, 2020, all medical record request forms should be emailed to firstname.lastname@example.org.
For future care, I trust both Dr. Tony Daniels, M.D. at 817-810-0770, and Dr. Max Pekarev, M.D. at 817-529-9199. Both are excellent people and surgeons who have graciously agreed to provide my patients with ongoing care in the event of any immediate needs. Should you require medical care prior to the closure of my practice, please do not hesitate to contact my office at 817-921-5566.
Once again, thank you for allowing me the opportunity to help you achieve your personal goals and I’m extremely grateful to have been your physician.
Richard T. Ethridge, M.D., Ph.D.