04/21/2026
As part of maintaining a safe, respectful, and effective environment, we reserve the right to refuse or discontinue services at any time.
All clients are expected to engage in a manner that supports clear communication, mutual respect, and appropriate boundaries. If a client becomes noncompliant, disruptive, or engages in behavior that interferes with services or the overall environment, the provider-client relationship may be terminated.
In the event that services are discontinued, reasonable notice will be provided when appropriate, along with guidance to seek alternative care if needed, in order to support continuity and avoid interruption.
*****
1. American Medical Association (AMA), Code of Medical Ethics Opinion 1.1.5 – Terminating a Patient-Physician Relationship: Physicians may terminate a relationship for non-discriminatory reasons, including noncompliance or disruptive behavior, provided adequate notice and opportunity to secure alternative care is given.
2. Legal Doctrine of Patient Abandonment (U.S. healthcare law): Providers must not abruptly terminate care without reasonable notice and an opportunity for the patient to obtain alternative services.
3. U.S. Federal and State Anti-Discrimination Laws (e.g., Civil Rights Act of 1964, ADA): Termination of services must not be based on protected characteristics; behavior-based and compliance-based decisions are generally permissible.
4. Risk Management Guidance (e.g., The Doctors Company, malpractice insurers): Recommends clear documentation, written notice, and defined behavioral or compliance standards when ending provider-client relationships.