I guess I'm pretty stunned that this doc sent "that kind" of letter to the couple. Because frankly, there are a lot of maneuvers she could have used to not take them on as patients, without revealing her prejudices to them. For example, she could just announce to her partners that she had decided that she was taking a break from accepting new patients for a few months, and ask one of them to take over with that family, and send out a form letter to all the patients. She chose to make her refusal about that particular couple, and that was her "mistake".
I'm not saying she was "right" to refuse the family, BTW-- just that there are more diplomatic ways to exercise her choice not to care for them. It wasn't an emergency situation, and she did provide an alternate provider for their visit, so from that perspective, I think she is within the law. But the prejudicial implications of the letter is what may get her into a lot of legal trouble, and potentially ethical trouble, with her state BOM.
I work with a married couple who are both OB/ GYNs. They are deeply religious, and do not believe in any form of birth control-- pharmacological, or surgical. They don't do any tubal ligations, and only do hysterectomies and uterine ablations for post menopausal women (unless it's a C-section mishap, and they have had to do a few gravid hysterectomies to save the woman's life). This couple have made it known in the community that they "don't do" birth control prescriptions, or tubals, and will refer patients to other providers if they ask. I was astonished when I first started working with them, because an OB that doesn't do birth control or tubals seemed like a death sentence for a thriving career, and very judgemental and prejudicial. And indeed, in some areas, particularly urban areas, they would never be hired. But in a small town with a lot of conservative religious families, they thrive.
I kind of wonder why this is hitting the news now, when it happened back in October 2014? I wonder if the couple is contemplating a lawsuit?