I don't agree with just sticking a letter in the bag or their hand and saying read it when you get home. Have a letter ready but speak to them at pick up and explain the troubles you are still having (hopefully you have mentioned these issues at least once to them before). have a dialogue with them. I generally have made out a point form list of all the points I want to touch on so that I don't forget something I want to say. Then I say regretfully I won't be able to continue care after xxxxx date. Then hand them the letter and say this is for your records. The letter just has to be brief in that you are terminating care and the last available day for care would be xxxxx date. I read all the time in this forum that we aren't taken as professionals and as business owners. Well we can't hide behind emails and letters just stuck in the bag to be read later..... We have to act like professionals in order to be treated like a professional . JMO

































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