No. The patient can assert that the medical advice was purely for some aspect of treatment, such as surgery or physical therapy, but not all care and treatment. Always document and record in the case of a patient not following medical advice, and send a letter to the patient confirming his or her forfeiture of care and the potential consequences of those actions. Ask the patient to reconsider, but do not deny the patient access to ongoing care. Consider terminating the physician-patient relationship. Depending on the circumstances, seek legal guidance before taking such action.