Re: Re: How to fire a patient?

[Guest guest]

Great additions, . I have said to patients, I don’t think I am the right doctor for you. I would recommend_____, who will meet your needs better. Ann Goldeen

From: J. , DC

Sent: Thursday, November 17, 2011 9:26 AM

Subject: Re: How to fire a patient?

First off, do not call it "firing". They are not your employee , so you are not firing them. Don't use that language , even around your staff because they (staff) will repeat it when they are at Fred Meyer and the patient's sister will overhear them ;-).You have a legal obligation to inform them as Ann explained and you must give them a 'go-forward' option (some names of other DCs, copies of there chart notes, etc.). You do not have to give them a reason, but you really should say why in as nice a way as possible. I have done this for many reasons, chronic canceled appts, chronic late to appts., not following clinical rx, reapeatedly rude to staff, etc....so, you have to walk gently. Try" I believe it is in everyone's best interest if you were to continue your care with another provider"...etc. But remember what is really happening is that you are withdrawing from a clinical relationship with the patient. Just keep that in mind as you word your letter. I have used the term "bow out" as your chiropractor, "withdraw" as your chiropractor, etc.

J. , DCwww.springbrookclinic.comwww.DaytonOregon.org

[Guest guest]

Hi Ann, That's how I phrase it also: It would appear that I'm just not the right doctor for you. Here's a list of skilled doctors in our area who might be able to serve you better:. skSunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com From: anngoldeen@...Date: Thu, 17 Nov 2011 09:41:38 -0800Subject: Re: Re: How to fire a patient?

Great additions, . I have said to patients, I don’t think I am the right doctor for you. I would recommend_____, who will meet your needs better. Ann Goldeen

From: J. , DC

Sent: Thursday, November 17, 2011 9:26 AM

Subject: Re: How to fire a patient?

First off, do not call it "firing". They are not your employee , so you are not firing them. Don't use that language , even around your staff because they (staff) will repeat it when they are at Fred Meyer and the patient's sister will overhear them ;-).You have a legal obligation to inform them as Ann explained and you must give them a 'go-forward' option (some names of other DCs, copies of there chart notes, etc.). You do not have to give them a reason, but you really should say why in as nice a way as possible. I have done this for many reasons, chronic canceled appts, chronic late to appts., not following clinical rx, reapeatedly rude to staff, etc....so, you have to walk gently. Try" I believe it is in everyone's best interest if you were to continue your care with another provider"...etc. But remember what is really happening is that you are withdrawing from a clinical relationship with the patient. Just keep that in mind as you word your letter. I have used the term "bow out" as your chiropractor, "withdraw" as your chiropractor, etc.

J. , DCwww.springbrookclinic.comwww.DaytonOregon.org