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I may be feeling crotchety tonight, but I believe that it would be most courteous to ask the client/patient which they prefer to be called.
Kind of like asking someone about their name: "Do you prefer to be called John or Mr. Smith?"
While it's likely difficult to remember who prefers which, it just feels like common courtesy to at least try to respect what an individual prefers to be called.
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Since you cannot do good to all, you are to pay special attention to those who, by accidents of time, or place, or circumstance, are brought into closer connection with you. (St. Augustine)
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