A client emailed me asking for suggested wording to a patient whose rude and disrespectful behaviour could no longer be tolerated. After initially responding that my client should submit a first draft, I remembered that the letter had already been written by a different client a couple of years ago. It goes like this: Dear Mr Meldrew The purpose of this letter is to inform you that we have today written to the Area Health Authority to request that we deregister you as a patient at this practice. In order to fulfil our contract with the Health Authority we are obliged to: a. Complete any outstanding treatment and/or b. Treat you for emergency care only for the next three months. After this time, you will need to either find another dental practice that are prepared to accept your request for membership either as an NHS or private patient, or contact the Health Authority for a list of practices accepting new NHS patients.