Ending a patient relationship is okay
One of the most common inquiries I receive from physician clients is how to properly terminate a patient relationship. Perhaps it's a patient who refuses to honor payment terms or repeatedly cancels with little or no notice. Maybe it's a patient who refuses to follow through on a treatment plan. Most recently, the questions I receive are about terminating belligerent patients who are unacceptably rude or aggressive with physicians or practice staff.
Patients should also, when possible, be provided with a written notice related to the practice's concerns and the opportunity to correct the issues when reasonably correctable. Patients who do not comply with a plan of treatment, for example, may be the type of patient that will respond to a letter. Even patients who have been rude or uncooperative during practice visits can correct their conduct when called out on it specifically by their physician.
A patient termination letter does not necessarily need to detail all the reasons why the patient is being terminated. In general, a statement that the practice believes it is the parties' best interest to terminate will suffice. If a prior letter has already been sent to the patient, they will already know the reason for termination. To the extent a patient insists on specific details, the physician can address this on a case-by-case basis, supported by adequate documentation.
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