Terminating Patient RelationshipsThe Doctors Company 2025

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First, a physician must give the patient reasonable notice of their intention to terminate the relationship. This notice should be in writing, and should give the patient enough time to find another physician if they so choose. Second, a physician must have a good faith reason for terminating the relationship.
If a practitioners ability to manage the patient is inadequate or compromised due to an emotional, financial, or legal circumstance, it is reasonable to consider termination of the relationship.
Severing a relationship with a patient is often a difficult decision and can lead to difficult conversations. Physicians may decide to dismiss a patient for a variety of reasons such as nonpayment, non-compliance and/or inappropriate behavior.
Trust, knowledge, regard, and loyalty are the 4 elements that form the doctor-patient relationship, and the nature of this relationship has an impact on patient outcomes.
When the situation for dismissing the patient is appropriate, provide a formal written notice that states you are withdrawing care by a specific date and the patient must find another practitioner. Mail the written notice to the patient by both first-class and certified mail with a return receipt requested.

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The relationship may be ended immediately under the following circumstances: The patient has ended the relationship. (Acknowledge this in writing with a letter from the practice.) The patient or a family member has threatened the practitioner or staff with violence or has exhibited threatening behavior.
When considering withdrawing from a case, physicians must: Notify the patient (or authorized decision maker) long enough in advance to permit the patient to secure another physician. Facilitate transfer of care when appropriate.

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