One of my kids has a doctor, and I am likely to dismiss him and start taking the child to someone else. When I call this current doctor and cancel the appointment and request a records transfer, I predict he will ask me why. I am wondering what I should say and how much detail I should provide. Part of the problem is lack of rapport with the child, which probably isn't entirely the doctor's fault. The rapport issue alone would not cause me to switch, although I think we could find someone better. Another part of the problem is that the doctor yawns a lot when my child is talking to him during visits. Not little, stifled yawns. Big ones, as though this doctor has not slept in weeks. These yawns are so huge that my child will stop talking and say, "Bless you." I would hope my child's difficulties are not that boring. The third part of the problem is I feel like this guy always has one hand in my wallet. His fees are high and he is out of network, which I knew from the outset, of course. But he has asked me to fill out questionnaires and forms, and then billed me $$$ for reading what I wrote. One billing episode in particular rubbed me the wrong way. The doctor requires 24 hours for a cancellation, which is not unusual, and the full fee is owed for a no-show or late cancellation, etc. Well, we had a morning appointment scheduled and my child had an episode of the type for which the child needed treatment. Without getting into details, let's say the child had an adverse reaction to a medication the doc had prescribed. I realized that we would never make the morning appointment because I had to get the child stabilized. I called, and the doc gave me an afternoon appointment and some advice on stabilizing the child, which took a few hours. When we showed up for the afternoon appointment, the doc said we would owe the full fee for the afternoon appointment, the cost of the telephone call, and the missed appointment fee (although he reduced that $222 fee by half). I had to cut a check for $422 that day, much of it not eligible for insurance reimbursement. This seemed extreme to me, and I felt like he should have just charged for the afternoon appointment because of the circumstances. So. Should I give a reason why we are leaving the practice, and if so, how detailed should I be? Or should I just leave and say nothing?