Thanks.
1. I don't send a letter once I receive a release. The moment I receive a release of records, according to my attorneys, it is a declaration by the patient that they no longer need my services, and since it shows where they want the records to go, that doctor is responsible. I would consider a letter saying goodbye if they left on good terms, but not if they didn't. That's just I.
2. I like number two.
3. I like number three as well.
I think basically it boils down to they either are abusive as you say or they have been fully dismissed.
Thanks! We have a meeting today at lunch. Glad to get your input.