Hello. i was curious about discharge of a patient. I have a patient that has not been to PT in 1-2 months secondary to other issues, but she is returning with same MD and same diagnosis. when do you d/c patient from outpatient clinic if they have not attended and When do they need new MD referral. I am practicing in the USA. I know that MD order only good for 30 days with initial eval, but if I had already seen patient do I need to discharge and do as a new patient. I also know that new law state instead of every 60 day to return to MD now it is 90 days, but does this still pertain to patient that has not attended.