Tips for Terminating a Patient Relationship
As a dentist, you may find yourself in a situation where it is best for you and the patient to part ways. Typically, these circumstances arise due to an unresolved conflict, lack of patient cooperation, or a difference in care philosophies and treatment expectations.
If you feel that it is necessary to terminate a patient relationship, here are a few steps you can take to mitigate your liability:
- Be professional and courteous. Remember that terminating a patient can be emotionally-charged, so it is crucial to maintain a calm and professional demeanor. It should never become personal.
- Consider seeking advice from a professional organization or legal counsel. This will help ensure that you follow all appropriate guidelines and regulations, including the number of days you need to be available to that patient in case of an acute emergency.
- Schedule a meeting with the patient to discuss the situation. Be clear and specific about your reasons for terminating the relationship and allow them to respond. Compatibility or personal conflicts are valid reasons to end the relationship.
- Develop a template for a dismissal letter. Termination should be documented in a letter to the patient, sent in accordance with your state dental practice act. Objectively, fill in the details about the cause of the termination and advise the patient to find another provider. Additionally, detail the number of days you will be available to treat the patient in the event of an emergency. If the patient has ongoing treatment, provide them with a reasonable timeframe to find a new dental provider and offer to transfer their dental records to their new provider. You can find a sample patient termination letter template here.
- Make sure to complete any procedures you've already started with the patient. A dentist should not terminate a patient mid-treatment. The patient must be dentally stable before termination. Most states require that the dentist provide emergency care for 30 days from the date of termination, contact information for a resource to locate a new provider (either the local dental association or dental school if one exists), and completion of any procedures that have been started.
- Document the patient's behavior or actions that have led to your decision to terminate them. This documentation may be necessary if legal or ethical issues arise. It should include phone calls, correspondence, and text messages. This type of information, considered a best practice in any situation, can be particularly beneficial in emotionally charged dismissal cases. The provider should document the patient’s behavior (non-compliance) factually and without emotion.
And lastly, remember that terminating a patient should be done with compassion and professionalism!
The information contained on the DentistCare Blog does not establish a standard of care, nor does it constitute legal advice. The information is for general informational purposes only. We encourage all blog visitors to consult with their personal attorneys for legal advice, as specific legal requirements may vary from state to state. Links or references to organizations, websites, or other information is for reference use only and do not constitute the rendering of legal, financial, or other professional advice or recommendations. All information contained on the blog is subject to change.
