Yes, when a physician-patient relationship is not a good match, the physician should assist the patient in finding a new provider within the managed-care organization (MCO). When working with a MCO, physicians agree to accept its policies; therefore, it is a good idea to check with the MCO regarding its transfer policy. The physician should also ensure the transfer of care does not occur until the new provider is in place. All conversations with the patient, the MCO, and the new provider must be carefully documented. Lastly, transfer copies of the patient’s medical records in a timely manner. As always, physicians are encouraged to contact PSIC's Risk Management Team if they need assistance terminating their relationship with a patient.