[Practice name]
[Address, phone, and secure email or client portal]

[Date of letter]

PRIVATE AND CONFIDENTIAL
[Client's full name]
[Mailing address, or the portal or secure email the client chose for letters]

Re: Ending our therapy

Dear [Client's first name],

I am writing [to confirm, as we agreed on date, or to let you know] that our therapy [ended with our final session on date, or will end on date].
Final session: [Date, time, and in person or by video, or none planned]
Your file closes on: [Date]

WHY THERAPY IS ENDING
[One or two plain, kind sentences, such as: you reached the goals we set; we have not been able to reach you since date; you now need a kind of care I don't provide; I am moving or closing my practice; or a conflict of interest means I can't continue]

WHAT YOU ACHIEVED
[Two or three changes, in words the client will recognize, such as fewer panic attacks or a return to work]
[The skills or plan to keep using, and the early warning signs to watch for]

SUPPORT FROM HERE
Referrals: [Name, service, and contact for each, or where to search for a therapist who fits]
With your consent: [What I will send, and to whom, such as a closing summary to your family doctor or new therapist]
Medication: [Keep seeing name of prescriber, and don't stop any medicine without talking to them; delete this line if it doesn't apply]

IF YOU NEED HELP QUICKLY
If you are struggling or thinking about suicide, call or text 988, at any time.
If you or someone else is in immediate danger, call 911 or go to the nearest emergency department.
[Local crisis line, walk-in clinic, or after-hours service, with hours]

YOUR RECORDS
I keep your record for [number] years after your last session, as [your regulator or the law where you practice] requires.
To get a copy, or to send it to another provider: [How to ask, any form, any fee, and how long it takes]

COMING BACK
[You are welcome to contact me if you'd like to return: how, and whether a wait or a new intake applies. Or, if returning isn't possible: where to go instead]

[Closing line, such as: It has been a privilege to work with you. I wish you well.]

Sincerely,
[Your name, credentials]
[License or registration number]
[Signature]

Sent by: [Mail in a plain envelope, client portal, or secure email] on [date sent]
In the record: [A copy of this letter, the closing summary, and each attempt to reach the client]