You can contact your malpractice providers risk management department. They have a template that they can share with you or work with you to develop a letter. It's always best to reach out to them and get their suggestion. The practice is paying a premium to them for coverage, use the risk management services that are offered. Good Luck!
Does anyone have a form (you are willing to share) or resource where I may be able to find an up to date example of a patient discharge from practice/care?