A few examples of times when I had to unfortunately  discharge a patient 
from my practice:
1. Husband of a patient harassed, cursed my staff by phone for several 
hours. Protecting my staff (and the wife and her kids) from him was my 
primary concern. I can't afford to have good staff quit because I let our 
families treat them terrible. This was a case far beyond just routine 
complaining or public relations.
2. Failure to show up and appropriately cancel appointments, repeatedly.
3. Failure for the patient to meet their financial responsibility, after 
months.
I am more than happy to present a variety of treatment approaches/options to 
patients.
But it is usually an administrative breech that results in discharging them 
from my practice.

Respectfully,


Denise Punger MD FAAFP IBCLC (who hasn't posted in a looong time)
Fort Pierce, Florida
http://www.twofloridadocs.com

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