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It defines the fiduciary nature of the relationship, prohibits discriminatory termination under applicable law, and requires clinical judgement, documentation, timely record transfer or provision, interim care planning, and safe handling of complaints. Discontinuation must be justified, communicated, and handled with empathy.",{"@graph":69,"@context":121},[70,84,104],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/ending-the-patient-relationship-version-57-practice-standard/661164/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":98,"encodingFormat":97,"isAccessibleForFree":99,"interactionStatistic":100},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/ending-the-patient-relationship-version-57-practice-standard/661164.png","ImageObject",300,407,{"name":92,"@type":93},"DoDO","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-28",true,{"@type":101,"interactionType":102,"userInteractionCount":4},"InteractionCounter",{"@type":103},"ViewAction",{"@type":105,"mainEntity":106},"FAQPage",[107,113,117],{"name":108,"@type":109,"acceptedAnswer":110},"When does this practice standard apply?","Question",{"text":111,"@type":112},"It applies only when the licensee terminates the patient-licensee relationship due to discord or other legitimate reasons, not when the relationship ends naturally or as expected after a consultation.","Answer",{"name":114,"@type":109,"acceptedAnswer":115},"What reasons are prohibited for ending the patient-licensee relationship?",{"text":116,"@type":112},"Termination must not be based on reasons that may be considered discriminatory under the BC Human Rights Code, and must not be based solely on the complexity of a patient’s care needs such as chronic pain, addiction, or mental illness.",{"name":118,"@type":109,"acceptedAnswer":119},"What actions must a licensee take after deciding to end the relationship?",{"text":120,"@type":112},"The licensee must make reasonable attempts to resolve the situation first, then provide written notice (normally also in person unless safety risk exists), document reasons and prior efforts in the medical record, provide or transfer the medical record timely, give a time frame to find another provider, assist transfer when possible, and ensure interim services such as renewing prescriptions and arranging follow-up.","https://schema.org",{"og:url":83,"og:type":123,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":125,"canonical":83},"index,follow",{"doc_id":127,"site_id":62},661164,1793158879,{"code":4,"msg":5,"data":130},{"doc_id":127,"user_id":131,"nickname":92,"user_avatar":132,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":133,"file_id":134,"file_url":135,"file_type":136,"file_size":137,"view_count":4,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":138,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":139,"faqs":140,"seo_title":141,"seo_description":67,"update_tm":128,"read_time":52},962093270745,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","PRACTICE STANDARD  \nEnding the Patient Relationship  \nEffective: June 1, 1995  \nLast revised: April 1, 2026  \nVersion: 5.7  \nRelated topic(s): Access to Medical Care Without Discrimination; Leaving Practice;  \nMedical Records Documentation; Medical Records Management  \nA practice standard reflects the minimum standard of professional behaviour and ethical conduct on a specific topic or issue expected by CPSBC of its licensees (all physicians and surgeons who practise medicine in British Columbia) . Standards also reflect relevant legal requirements and are enforceable under the Health Professions and Occupations Act, SBC 2022, c.43 (HPOA) and the CPSBC Bylaws under the HPOA.  \nPreamble  \nThis document is a practice standard of the Board of the College of Physicians and Surgeons of British Columbia (CPSBC) .  \nThe expectations outlined in this practice standard apply only in circumstances when the patient-licensee relationship is terminated by the licensee as a result of discord with a patient or for other legitimate reasons. It does not apply in situations where the licensee’s involvement with a patient reaches its natural or expected conclusion, such as consultative care provided by a specialist.  \nCPSBC’s position  \nThe patient-licensee relationship is a fiduciary relationship based on honesty, respect, and trust, where the licensee prioritizes the patient’s care and well-being, and acknowledges the patient’s autonomy regarding personal choice, including lifestyle or treatment options.  \nIn situations where the therapeutic relationship ceases to be effective, however, a licensee may choose to stop treating a patient. The decision to end the patient-licensee relationship must not be based on reasons that may be considered discriminatory under the BC Human Rights Code, including race, colour, ancestry, place of origin, religion, marital status, family status, physical or mental disability, sex, sexual orientation, gender identity or expression, or age of that person or class of persons.  \nSimilarly, licensees must not end a patient-licensee relationship based on the complexity of a patient’s care needs, such as chronic pain, addiction, or mental illness. In such cases, patients must be counselled, cared for and prescribed appropriate medications with due caution, based on well-documented assessments.  \nAllegations of discrimination are carefully investigated on a case-by-case basis and may be sustained by CPSBC where impact is demonstrated even if the licensee did not intentionally discriminate.  \nExpectations  \nWhen considering ending the patient-licensee relationship, licensees must:  \n• make all reasonable attempts to resolve the situation first, and only end the relationship if those attempts have not been successful  \n• recognize that this decision may have significant negative consequences for the patient, such as limiting their access to medical care  \n• apply sound clinical judgement and empathy to determine the most appropriate course of action  \nWhen a licensee decides to end the patient-licensee relationship after thoughtful consideration, they must undertake the following actions:  \n• provide written notification to the patient of the decision—the decision should normally also be communicated in person, unless meeting with the patient is reasonably considered to pose a safety risk  \n• document the reasons in the patient’s medical record, including all efforts made to resolve the issue prior to ending the relationship  \n• provide the patient with a copy of their medical record or transfer the patient’s medical record to another licensee or clinic in a timely manner  \n• provide the patient with a time frame to find another licensee or clinic, which can vary depending on the circumstances of the situation, including the patient’s medical condition  \n• where possible, assist the patient in finding another licensee or clinic where care can be transferred  \n• ensure medical services are provided in the interim period, su","cbCaiuA9WWGlN0ST","https://ap.wps.com/l/cbCaiuA9WWGlN0ST","pdf",123208,"English","# Preamble\n# CPSBC’s position\n# Expectations\n# Examples","[{\"question\":\"When does this practice standard apply?\",\"answer\":\"It applies only when the licensee terminates the patient-licensee relationship due to discord or other legitimate reasons, not when the relationship ends naturally or as expected after a consultation.\"},{\"question\":\"What reasons are prohibited for ending the patient-licensee relationship?\",\"answer\":\"Termination must not be based on reasons that may be considered discriminatory under the BC Human Rights Code, and must not be based solely on the complexity of a patient’s care needs such as chronic pain, addiction, or mental illness.\"},{\"question\":\"What actions must a licensee take after deciding to end the relationship?\",\"answer\":\"The licensee must make reasonable attempts to resolve the situation first, then provide written notice (normally also in person unless safety risk exists), document reasons and prior efforts in the medical record, provide or transfer the medical record timely, give a time frame to find another provider, assist transfer when possible, and ensure interim services such as renewing prescriptions and arranging follow-up.\"}]","Ending the Patient Relationship - Version 5.7 - practice standard | PDF"]