Thank you for your question. Please permit me to assist you with your concerns.In this situation she stopped coming to you, you did not terminate care. As a consequence there is no need to send her a letter terminating therapy since that was her choice and not yours. Making a formal notation in her patient file that the patient chose to terminate care and is obtaining treatment elsewhere is sufficient. Those records are considered to be 'business records' and can be disclosed or obtained via subpoena in case of lawsuit which means that the information within would be able to be used in court (even if otherwise protected under HIPAA). A notation is sufficient.Good luck.
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