Ending the Doctor-Patient Relationship

Ending a doctor-patient relationship has always been a difficult area and there are many factors to consider. When there is a breakdown in the relationship, it is in the best interest of both physician and patient to terminate the relationship.

When terminating a doctor-patient relationship:

1. Notify the patient about the termination, preferably in a face-to-face interview and follow up with a registered letter, with a return receipt requested confirming the termination
2. Put a copy of this letter and postal receipt into the patient's medical record.
3. Offer to transfer the patient's medical files to the new physician.
4. If the patient is in need of medical care during the transition period, it is advisable to give that care so the patient is not abandoned while he/she finds another physician.
5. Give the patient a reasonable length of time to find another physician.
6. Do not withhold emergency care during the transition period.
7. Keep good records of the process of transfer/termination.
8. Notify any other health care providers involved in the patient's care of the transfer to a new physician.
9. Inform your staff about the transfer of care so that they can handle any patient contacts appropriately.
10. Ensure you know the licensing authority's expectations when terminating a doctor-patient relationship. For more information, visit the CPSO website.

After termination:

1. If the patient calls your office, explain that in an emergency he/she should contact their new physician or go to the nearest hospital ER.
2. Document this call and advice.
3. If a lab or consultant report is received, notify the lab or consultant that the patient has a new physician and request the report be sent to the new physician.
4. Keep a record of the notification.