One More Item on the To-Do List When Terminating the Doctor-Patient Relationship 

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Most physicians know the requirements that must be met when terminating the doctor-patient relationship. The requirements must be satisfied to avoid a charge of abandonment with a medical board. 

You must give the patient sufficient time to find another doctor. The language often reads as “we remain available to treat you for urgent or emergent conditions related to our specialty for 30 days or until you find another physician, whichever comes first.”  

There are rare exceptions. If you are the only person who performs pediatric oncology in a geographic area of 100 miles, you may need to reasonably provide a longer runway. 

And make sure the patient has sufficient refills of medications for that 30 day window. 

Note, if the patient terminates the doctor-patient relationship, you merely need to document that. You do not need to provide that 30 day runway. 

Next, you need to state you will make records available to the new physician upon the patient’s signed authorization. 

And finally, you must provide a limited roadmap for finding a new physician. Such as directing them to County Medical Society website. Or their insurance network. Etc. 

Now, what else?  

Often forgotten is removing this individual from your marketing campaigns. 

When a patient receives a letter terminating the doctor-patient relationship, they may feel angry. If they keep receiving bi-weekly marketing messages as to how wonderful you are, they may lash out. On the internet. 

Stop reminding them. 

So, the final item on your list is to remove their name from your prospective marketing campaigns. It’s an item that is often forgotten.  

Make sure it gets done. 

What do you think? 

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Jeffrey Segal, MD, JD
Chief Executive Officer & Founder

Jeffrey Segal, MD, JD is a board-certified neurosurgeon and lawyer. In the process of conceiving, funding, developing, and growing Medical Justice, Dr. Segal has established himself as one of the country's leading authorities on medical malpractice issues, counterclaims, and internet-based assaults on reputation.

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