Wrapping Up the Right Way: Handling Patients and Records When Closing a Dental Practice

Jordan Uditsky • January 12, 2026

When looking ahead towards retirement and the next chapter in life, many dentists will plan to sell their practice to another dentist or perhaps to a DSO. But plenty of dentists decide that closing-up shop and locking the door behind them is the better course of action when moving on. Nothing wrong with that, of course, so long as the practice owner does right by their patients, including providing them with proper notice and handling of their records in accordance with their legal and ethical obligations.

 

Closing a practice, especially after years or decades of serving patients and the community, is no small decision and no simple process. As such, a foundational step in wrapping up a practice is assembling a team of trusted professionals – attorneys, accountants, and financial professionals – who have experience in the dental space and can ensure that all issues are fully considered and addressed.


Are you interested in speaking with one of our attorneys? Click here to contact us now.

 

Sharing The News With Patients

 

Once an owner has decided to close their practice, one of the top priorities is breaking the news to their patients.

 

While sooner rather than later is always preferable, most state laws require that health care practitioners, including dentists, provide both their patients and the public at large with notice prior to closing their practice. For example, Illinois law (735 ILCS 5/8-2001(f)) requires at least 30 days prior notice of closure, and that the notice  include an explanation of how patients can access copies of their records. In addition to letters sent to active patients of record, the law allows notice to be given “by publication in a newspaper of general circulation in the area in which the health care facility or health care practitioner is located.”

 

The American Dental Association (ADA) has produced the following sample letter that practice owners can send to patients when announcing a closing:

 

Dear [Patient]:

 

Our records indicate that you are a patient of record at this dental office. Due to (give a reason, if possible) this office will be closing on (date). It has been our pleasure to serve your dental needs and we thank you for your patronage. You should begin looking for another dentist. Oftentimes, the recommendation of friends and relatives or contacting the local dental society, are ways of locating another dentist. With your permission, copies of the pertinent information from your record can be made available to a dentist of your choosing. Please do not hesitate to telephone us during normal business hours before the last scheduled day, if you have questions.

 

After the closing date, all inquiries about the records or other matters should be directed to (name of custodian) located at ____. Again, thank you for having been a part of this practice.

 

Sincerely,

DDS or agent of the dentist

 

The ADA also has a sample newspaper announcement that owners can use to provide notice to the public:

 

The dental office of Dr. _located at phone number is closing on (date) due to (give a reason, if possible). We thank you for your patronage. It has been our pleasure to serve your dental needs.

 

At your request, copies of the pertinent information from your record can be made available to a dentist of your choosing. If you wish to make a request regarding your patient record, please contact the office before the permanent closing day, as we shall need your written authorization to make your records available to another dentist. After that day, you will have to direct your inquiry about the record to (name of dentist or record custodian)__, located at _.

 

Patient Record Retention and Release

 

The other main obligation of practice owners to their patients when shutting down their practices is handling, transferring, and maintaining patient records and protected health information (PHI).

 

Again, in Illinois dentists must maintain patient records for ten years. When closing their practice, many owners retain third-party custodians to store their records and address patient requests. Any owner seeking to use such an outside custodian should ensure that the vendor specializes in medical records such that they understand and comply with HIPAA and other relevant laws and requirements regarding patient privacy.

 

Whether they hire an outside vendor or maintain the records themselves, practice owners are allowed to charge a reasonable reimbursement fee for reproducing and transferring records to another practice upon the patient’s request. As the ADA notes, however, “failure (or refusal) to release necessary information to another dentist for a patient’s continuing care may be illegal and may be viewed as an unethical practice… You should not refuse to release a patient’s treatment information or records due to an outstanding payment.”

 

Before transferring records to another practitioner, it is prudent to obtain the patient’s written consent. The patient can be provided with a simple release form for transfer of the records to either the patient or another health care provider. To be signed by the patient, this release form should specify:

 

  • Patient's name and identifying information
  • Address of the health care professional or institution directed to release the information
  • Description of the information to be released
  • Identity of the party to be furnished the information
  • Language authorizing the release of information
  • Signature of patient or authorized individual
  • The period for which release remains valid

 

Of course, patient notification and record retention and transfer issues are not the only matters that owners must address when closing their practice. It is a multifaceted and multistep process that practice owners should not undertake without experienced counsel on their team.

 

At Grogan, Hesse & Uditsky, P.C., we focus a substantial part of our practice on providing exceptional legal services for dentists and dental practices, as well as orthodontists, periodontists, endodontists, pediatric dentists, and oral surgeons. We bring unique insights and deep commitment to protecting the interests of dental professionals and their practices and welcome the opportunity to work with you.

 

If you are considering closing your dental practice, please call us at (630) 833-5533 or contact us online to arrange for your free initial consultation.

 

Jordan Uditsky, an accomplished businessman and seasoned attorney, combines his experience as a legal counselor and successful entrepreneur to advise dentists and other business owners in the Chicago area. Jordan grew up in a dental family, with his father, grandfather, and sister each owning their own dental practices, and this blend of legal, business, and personal experience provides Jordan with unique insight into his clients’ needs, concerns, and goals. 


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Additionally, a dentist experiencing issues with a patient should contemporaneously document all communications, incidents, statements, or behavior suggesting a breakdown in the relationship. Of course, while a dentist can control how they handle the end of a patient relationship, they can’t control how the patient will react to being “dumped.” Even when the dentist acts professionally and cordially, as they should, there is no guarantee that the patient will do the same. If a patient responds with hostility or anger, tread carefully and do not respond in kind. Contact Us With Any Questions or Concerns If you have any questions or concerns about ending a patient relationship, please give us a call. At Grogan, Hesse & Uditsky, P.C., we focus a substantial part of our practice on providing exceptional legal services for dentists and dental practices, as well as orthodontists, periodontists, endodontists, pediatric dentists, and oral surgeons. We bring unique insights and deep commitment to protecting the interests of dental professionals and their practices and welcome the opportunity to work with you. Please call us at (630) 833-5533 or contact us online to arrange for your free initial consultation. Jordan Uditsky, an accomplished businessman and seasoned attorney, combines his experience as a legal counselor and successful entrepreneur to advise dentists and other business owners in the Chicago area. Jordan grew up in a dental family, with his father, grandfather, and sister each owning their own dental practices, and this blend of legal, business, and personal experience provides Jordan with unique insight into his clients’ needs, concerns, and goals.
Show More
By Jordan Uditsky April 15, 2026
How Defining Your Goals Will Shape Your Dental Practice’s Business Succession Plan
By Jordan Uditsky April 2, 2026
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A doctor is sitting at a desk talking to a patient.
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Most relationships, whether personal or professional, start with a certain level of mutual trust and respect, compatibility, and shared goals and priorities. But those characteristics don’t always last, and a once-promising partnership can devolve into disputes, distrust, or outright hostility. The dentist-patient relationship is not immune to such deterioration. There may come a day when the differences between a dentist and their patient make continued treatment undesirable or impractical. A patient, of course, is free to call it quits with their dentist at any time, or the patient and dentist can mutually agree to part ways. But when a dentist wants to stop treating a problematic or disruptive patient and terminate the relationship, things can be a bit stickier. It is crucial that a dentist handles the break-up carefully and in accordance with the law and ethical standards so as to avoid claims of patient abandonment that could threaten their professional license or expose them to liability. Are you interested in speaking with one of our attorneys? Click here to contact us now. Dentists Have a Right To Unilaterally Dismiss a Patient For Reasonable Cause As a preliminary matter, dentists may choose to responsibly end their relationship with a patient for any reasonable, legally permissible cause. As the American Dental Association (ADA) guidelines put it: The dentist has the right to dismiss a patient in situations where it is impossible to resolve differences or if the dentist cannot abide the patient’s behavior within the practice, as long as the dismissal is not for a legally impermissible discriminatory reason. Accordingly, a dentist may not end a patient relationship because of the patient’s race, religion, gender, color, age, national origin, disability, or other characteristics protected by federal and state anti-discrimination laws. Notably, political opinions are not a protected characteristic under the law. Common reasons a dentist may justifiably terminate a patient include: Hostility or abusive behavior toward the dentist, staff, or other patients Harassment or sexual abuse of dentist, staff, or other patients Repeatedly missing appointments Refusal to undergo recommended testing or treatment Lack of trust or confidence in the dentist’s abilities or recommendations Consistent failure to follow office policies Showing up to appointments under the influence of alcohol or drugs Refusing to adhere to infection-control precautions and policies, such as masking Nonpayment Patient Dismissal vs. Patient Abandonment A dentist who chooses to dismiss a patient can’t simply show them the door, send them a break-up text, or refuse to answer their calls. Dentists must end the relationship such that they avoid any claim that they have abandoned their patient. According to the ADA’s Principles of Ethics and Code of Professional Conduct Section 2.F.: Once a dentist has undertaken a course of treatment, the dentist should not discontinue that treatment without giving the patient adequate notice and the opportunity to obtain the services of another dentist. Care should be taken that the patient’s oral health is not jeopardized in the process. Patient abandonment is a serious ethical violation. For example, the Illinois Dental Practice Act lists “abandonment of a patient” as one of the many reasons the Illinois Department of Financial and Professional Regulation may revoke, suspend, refuse to issue or renew, reprimand, or take other disciplinary or non-disciplinary action against a dentist. A dentist also exposes themself to a malpractice claim if injuries result from their termination of the patient at the wrong time during the course of treatment or without proper notice. Best Practices For Terminating a Patient Relationship As noted, adequate notice, providing the patient an opportunity to find alternative care, and facilitating continuity of ongoing care are the keys to responsibly ending the dentist-patient relationship and avoiding a claim of abandonment. We suggest that dentists take the following steps to minimize the likelihood of any disputes or claims arising from the termination of the relationship: provide written notice to the patient, preferably by certified mail; provide the patient with the reasons for terminating the relationship; offer to continue treatment and access to services for a reasonable period (such as 30 days) to allow the patient to secure another dentist’s services; state that you will provide emergency services for a designated period; help the patient locate another dentist; and offer to transfer the patient’s records to a new dentist and/or advise the patient of their right to obtain a copy of their records for a fee. Additionally, a dentist experiencing issues with a patient should contemporaneously document all communications, incidents, statements, or behavior suggesting a breakdown in the relationship. Of course, while a dentist can control how they handle the end of a patient relationship, they can’t control how the patient will react to being “dumped.” Even when the dentist acts professionally and cordially, as they should, there is no guarantee that the patient will do the same. If a patient responds with hostility or anger, tread carefully and do not respond in kind. Contact Us With Any Questions or Concerns If you have any questions or concerns about ending a patient relationship, please give us a call. At Grogan, Hesse & Uditsky, P.C., we focus a substantial part of our practice on providing exceptional legal services for dentists and dental practices, as well as orthodontists, periodontists, endodontists, pediatric dentists, and oral surgeons. We bring unique insights and deep commitment to protecting the interests of dental professionals and their practices and welcome the opportunity to work with you. Please call us at (630) 833-5533 or contact us online to arrange for your free initial consultation. Jordan Uditsky, an accomplished businessman and seasoned attorney, combines his experience as a legal counselor and successful entrepreneur to advise dentists and other business owners in the Chicago area. Jordan grew up in a dental family, with his father, grandfather, and sister each owning their own dental practices, and this blend of legal, business, and personal experience provides Jordan with unique insight into his clients’ needs, concerns, and goals.
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