Risks do not have to be described in specific detail. With the latter example, remember the women on contraceptive pills, and remind them that their pills may not get absorbed and are therefore ineffective. Pre-warning takes away the feeling of having been surprised or even ambushed. If a referral is required, show that you continue to care by following up the patient. A feeling of being abandoned by the doctor often adds to a breakdown in your professional relationship.
Relationships are a two way street.
Patients too have their responsibility in that relationship. They need to pay our bills, observe our prescribed treatments and keep their appointments. A departure from the norm could be managed either by the receptionist or the doctor by appropriate communication. However, beware the patient who does not pay the bill, especially if that patient has had a good credit history. Ascertain if it is a symptom of dissatisfaction before sending it to a debt collector.