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In today’s podcast, we will continue our focus on the topic of terminating the physician and patient relationship. Building on part one of this series, our expert panel explores the practical, legal and ethical considerations involved in ending a therapeutic relationship in a way that protects patient safety, minimizes liability and supports the well-being of physicians and staff. Through real-world examples, the discussion highlights the importance of having clear, non discriminatory policies; setting expectations early; documenting noncompliance or behavioral concerns; and using both verbal and written communication to ensure the termination process is fair, transparent and defensible. Listeners will gain actionable guidance on avoiding patient abandonment, managing high-risk scenarios such as post-operative care or behavioral health concerns, and ensuring continuity of care during the transition period. The episode also addresses staff training, de-escalation strategies and balancing obligations to individual patients with the safety of the broader practice environment. This conversation offers valuable insights for physicians, practice leaders and healthcare administrators seeking to navigate one of the most challenging aspects of medical practice with confidence and compassion.