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In general, the physician-patient relationship can be terminated in two ways without creating liability for abandonment: 1) the physician ends the relationship after giving the patient notice, a reasonable opportunity to find substitute care and the information necessary to obtain the patient's medical records, or 2)
Terminating a patient formally involves written noticevia certified mail, return receipt to the patient that he/she should find another healthcare provider. Keep all copies of the letter and any other correspondence you may have in the patient's medical record.
"From a malpractice and medical board standpoint, a physician can basically discharge a patient for any reason he wants, as long as it is nondiscriminatory and doesn't violate the Emergency Medical Treatment and Labor Act or other laws, or puts the patient's health, safety, and welfare at risk," says Kabler.
Guidelines. The reasons physicians give for wanting to dismiss patients include patient noncompliance, failure to keep appointments, or rude behavior. When deciding whether to dismiss a patient the physician must consider the patient's medical status and needs.
Sample Letter of Withdrawal from a Case Dear (PATIENT): I would like to take this opportunity to formally notify you that I will no longer be your physician because (REASON). Sample language for reason: You have consistently failed to follow my advice and recommendations.
When the situation for dismissing the patient is appropriate, provide a formal written notice stating that you are withdrawing care and requiring the patient to find another practitioner. Mail the written notice to the patient by both first-class and certified mail with a return receipt requested.
In general, the physician-patient relationship can be terminated in two ways without creating liability for abandonment: 1) the physician ends the relationship after giving the patient notice, a reasonable opportunity to find substitute care and the information necessary to obtain the patient's medical records, or 2)
Refer the patient to his or her health insurance company's list of providers, county medical society, or a physician-referral service. Include an authorization for the release of the medical record. Advise the patient to designate the new physician, sign the form, and send it to your office.
According to CMA's California Physician Legal Handbook, physicians can terminate a patient-physician relationship without cause.
When you decide to end your relationship with a patient, inform him or her in writing and send the letter by certified mail, with a return receipt requested. If it's possible to describe the reason for the termination in a brief, clear, objective way, do so in the letter.