Sounds like you are doing a lot of work for nothing. You might find it more satisfying if you were actually getting paid for the work, and having time allotted to do it. Consider the advantages of actually seeing the patient: 15 minutes of your full attention and income to boot. Plus, no frantic rushing around trying to squeeze all that work in between scheduled patients. Of course your patients would much rather you "JUST" (I hate that word) handled it over the phone (ie. no co-pay), just like the drug addicts in your neighborhood who know "how busy the doctor is" and "JUST" need need him to phone in their Vicodin. Decide what kind of practice you want for the next 30 years and stick to your guns. Patients will ALWAYS want more. We have open access scheduling and see most people the same day and still get people who call at 8 am for a rash and complain when we give them an 11 am appt. Don't give away your services. You'll go broke and have a lousy time doing it.