August 1, 2016

To Whom it may concern:

I would like to take this opportunity to express my gratitude to you for being such a valued and esteemed patient in my private practice. I have enjoyed the opportunity of providing health care services to you since your first visit. It has been with great pride that I have been able to provide quality medical care for you and for some, other family members as well, over the past twenty years.

I would like to take this opportunity to express my gratitude to you for being such a valued and esteemed patient in my private practice. I have enjoyed the opportunity of providing health care services to you since your first visit. It has been with great pride that I have been able to provide quality medical care for you and for some, other family members as well, over the past twenty years.

As your OB/GYN, I will continue to be the custodian of your medical records. Another physician's office may request your medical records at no charge but those requests will only be faxed directly to the physician's office within 10 business days. If you request you medical records for personal use, there will be a charge of $25 for the first 25 pages and $.50/page thereafter, after payment is received, the documents will be released.

Any unpaid/outstanding balances will be sent to RGS Collection Agency if not paid after November 30, 2016.

I will provide continued medical care for you for the next 30 days at which point, I will no longer be considered your physician and you will need to find another OB/GYN. If you need a referral to another physician, please contact the Dallas County Medical Society office at 214-948-3622 or Collin County Medical Society at 972-529-5447 for names of OB/GYN/s in your area. Please feel free to contact our office at 214-618-2802, and ask to speak with my Practice Manager, Gail Trostel, if you have any questions.

Thank you again for allowing me to participate with your health care needs over the past 20 years!

Respectfully,

Steven G. Trostel, M.D., F.A.C.O.G
Diplomat, American Board of Obstetrics and Gynecology




CLICK HERE to download a Medical Release form.