Typically, to terminate the physician-patient relationship, you must send a notice to the patient, by regular and certified mail, return receipt requested, informing the patient that: the physician-patient relationship is terminated, the physician will continue to provide emergency treatment and access to services for up to 30 days from the date the letter was mailed to allow the patient to secure care from another physician, and the patient's records will be transferred to the new physician upon the patient's signed authorization to do so.
In your case, you should send a termination letter to the patient as soon as possible. If, during that 30-day period, the patient requests an appointment or shows up during walk-in hours and the patient's condition is emergent, urgent, or a follow-up of prior treatment, you should schedule the appointment or see the patient. It might cost you a little, since the patient probably won't pay you, but that beats any negative publicity or other problems that could arise from refusing to treat the patient.
Modern Medicine Network
To learn more about ending a relationship with a non-adherent patient, go to