Interstate 8?
I believe warning other clinics about their financial issues may lead to legal action (especially if this patient is unable to find care elsewhere). Certainly, I would document the patient's behavior and level of cooperation in my progress note. That is medically relavent to your success with the patient.
I think that the patient transferring out of your clinic is the best option. I have had those we send to collection and dismiss from the practice, yet, continue to claim that I am their one and only physician. I often get called into the ER to admit a previously discharged patient (and so I always check to see their status prior to accepting patients while on call). I encourage my on-call partner to call me as I do not want to be in a situation to repeat the whole dismissal procedure all over again (as I have reestablished care unwittingly via inaccurate information from the patient). Past behavior is an excellent indicator of future performance.
