My partner and I are of two minds; I like the idea of getting the labs ahead of time, accepting that there often will be additional labs that become necessary after the visit. She feels that is a total waste of effort, and never gets labs ahead. We get about the same number of requests for clarification, she maybe a bit more than me (but that may reflect differences in our patient population.) She uses the template on UpDox that advises that significant requests for clarification will either require an appointment or will get a $25 charge (not billable to insurance). She gets few takers. I don't address either option, and my patients don't seem to ask much. The few that do are the really anxious folks who are best managed by short and frequent appointments anyway.


David Grauman MD, FACP
Flagstaff, Arizona