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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)
The typical termination procedure involves consulting with the patient's insurer about your plans, then sending a letter to the patient by certifed 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)
Non-compliance with the treatment plan, rude, abusive behavior, repeatedly not showing up for appointments, drug-seeking behavior, and non-payment of services rendered are all reasons physicians terminate their patient relationships.
According to CMA's California Physician Legal Handbook, physicians can terminate a patient-physician relationship without cause.
This letter is to advise you that I will no longer be available to provide medical services to you after (FUTURE DATE ALLOWING PATIENT REASONABLE TIME TO FIND ANOTHER PHYSICIAN). I will be available to treat you until (DATE FROM ABOVE), so that you will have access to care while you choose another physician.
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.
The answer, to whether a doctor can fire you, for the most part, is yes. A doctor may choose to end your care if he desires to do so. Doctors, generally, are not required to take on a patient. And if a doctor no longer wants to treat a patient, he doesn't have to.
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.