Occasionally, continuation of the homeopath-patient relationship becomes impossible. When this occurs, termination should be accomplished in an appropriate manner. In general, steps should include:
a) Notifying the patient in writing, preferably by return receipt email or Registered mail;
b) Providing the patient with a reason for the termination;
c) Agreeing to continue as the patient’s homeopath for a reasonable period of time, such as 30 days, while the patient makes arrangements for the services of another homeopath;
d) Stating clearly the date on which the termination will become effective;
e) Providing information about resources, such as the BC Association of Homeopaths which will aid in identifying another homeopath; normally, the terminating homeopath should also offer to recommend other homeopaths from which the patient may choose;
f) Offering to transfer records to the new homeopath upon receipt of a signed authorization to do so;
g) Offering to see the patient in cases of emergency within a stated period of time after termination;
h) Including the above-referenced items in the letter notifying the patient of termination.
A homeopath is justified in withdrawing care to a patient when the patient refuses to follow advice and treatment, the patient is abusive to or harassing the homeopath or the homeopath is restricting practice to a particular type of problem, to office visits only, or is retiring from practice.
If the homeopath feels threatened or harassed by the patient, the homeopath may withdraw treatment without giving advance notice to the patient. The homeopath may halt treatment during the course of the visit or inform the patient at the end of the visit that no further care will be provided, effective immediately. Withdrawal of treatment without notice in these circumstances would not be considered abandonment of the patient. Depending on the particular circumstances, further communication with the patient by a confirming letter may or may not be advisable.
The patient’s clinical record belongs to the homeopath who created the record. However, the patient is entitled to the information in the record that relates to the patient’s case history and treatment. If the clinical record contains information that is not related to the patient’s treatment, that information can be severed from any information provided to the patient or to the new practitioner secured by the patient.