For example, high risk patients may need the notice to be sent via certified mail so the practice can track whether it was received or, if undeliverable, the practice can record that an attempt was made to reach the patient in an effort to minimize risk of any claim to the contrary. The timing and method of notification can differ based on the health status of the patient. Notification should be given to all active patients, which depending on your state, can be any patient the physician has treated sometime in the past 12-36 months. Notification to patients normally must occur between one and three months prior to the closing date to avoid claims of abandonment. Each party has unique notification requirements, subject to relevant law and custom. These parties include, but are not limited to: patients, federal and state agencies and licensing boards, employees, payors, vendors, and other business associates. There are several parties that a practice may be required to notify prior to its closing. That said, in order to make the process go smoothly to minimize any potential risk or liability, there are some general guidelines that health care providers should be aware of prior to closing down a practice. Requirements often differ slightly based on state law and circumstance. There is not a single, universal blueprint for closing down a health care practice.

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