We do the same. If a parent has expressed dissatisfaction with our office and transferred to another MD (was seen...disliked her as well) and now wants back into our office we usually do not accept back. Especially if the parent has been non-compliant or difficult to work with, we do not "re-admit" her/him to our practice. If a parent has had to change because of insurance and now is able to come back, most times we will accept them back. For the belligerent, non-compliant family, we terminate the relationship via letter as well. However, we usually indicate that we will provide care for the child for 30 days to give them a chance to find another healthcare provider. We want to avoid "abandonment" charges. Re: a previous post re: immunization refusal, one of our pediatricians just addressed that with a parent. After detailed discussion and persistent parent denial of immunizations, our MD explained that, with good conscience, she could not continue to provide care for the family, since immunizations were absolutely a necessary part of the total care and she could not practice against what she believed was an extremely important part of comprehensive preventive care. She wished the family well....the mother even stated that this wasn't the first time she had been told this by a pediatrician. Karen Kohlruss BSN RN