Bert you have permission to use that anytime you want!
Another option is to make a contract with the patient. Have them sign that they will take meds, follow regimens etc, or will be discharged from the practice. On the next visit either they have complied or need to move to the next step (see below).
If they will not make the contract ("I like my french fries too much doc") then pull the option to terminate them. Inform them (with another document) that 30 days hence you will no longer provide care if they are not willing to sign that contract and get their signature on THAT document. Let them know the number to some service that will link them to another physician (state medical society, "1800 doc") or the like. You have given them alternatives and another option for care so you cannot be accused of abandonment. If they will not sign that paper, you must send a letter to their house by certified mail informing them of the same.
Sometimes shock and awe are necessary!
