I used AC Search to find all the patients who are NOT inactive who have NOT been seen in the last year. I was surprised to find 17 pages on the printout. I have been going through them and some just haven't come in, so we are sending a letter about medical follow up or a yearly exam. Others we have been unable to contact in the past for follow up, so I am sending them a final letter. I will try to discharge and inactivate patients who have moved or are going elsewhere. Does this sound like an unreasonable level of work on follow up of medical problems, or do others do the same? I would like all the active patients in my chart to be truly active.