Take these steps to end a practicepatient relationship without drama. 1. Offer to Continue Care for 30 Days When your practice decides to end the physician-patient relationship, you shouldn't put the patient in a situation that could compromise her health. Key: 2. Provide the Patient With a Referral The 30-day window doesn't mean you should continue to give your services for free, however. "If the patient doesn't have the copay or means to pay that day, you don't have to see that patient in the 30 days," says Jetton Torix, CCS-P, CPC-H, course director of Knowledge Source Seminars in Star, Idaho. Note: If the patient does not have any immediate health risks and you're still operating within the 30-day window, you might provide a referral to another provider, Torix says. 3. Leave Out Reasons for Dismissal Keep in mind that any written correspondence the patient receives from your office could potentially be used against you down the road. So above all, do not include any reasons for why you're dismissing the patient. "Iwould not give them a reason to call," says Torix. 4. Send the Letter Certified For an important document like a dismissal letter, many experts suggest sending it via certified mail with a return receipt. You will then have a record of who signed for the letter. Torix suggests keeping the receipt with the patient's chart. If the patient does call the office to question the dismissal letter, then whoever takes the call will be able to explain to the patient the reason for dismissal. Warning: 5. Make Your Statement Upfront In sports, they say the best defense is a good offense.You can put this motto to use by having your financial policy well documented and easily visible. "You can avoid sending letters of termination if you have a good written financial policy up front," advises Torix. The purpose of a good financial policy "is to communicate to the patient 'this is what we expect of you in this office,'" Torix says.