I charge to fill out forms (handicap parking, disability). We verify information and take time to fill the forms out properly, even filling in the patient's potion for them.

A patient ( one that my staff and I bend over backwards to accommodate) told me this week that she was leaving my practice because I am a money grubbing doctor who takes advantage of others and that I make more than enough money. I tried to explain to her the cost of doing business, the time and effort placed in completing (sometime even mailing the forms at no additional charge) forms. I also explained to her that she should not comment on other' s finances ( it has been a tough few years I started the practice, just as the economy tanked).

I filled out her form. I did not charge them a co-pay ( her husband and her also had an office visit) and explained to her husband (alone) that our time has value and that we put a lot of effort and expertise in taking care of our patients. Merry Christmas.

We got no thank you.

We did get a letter and check (covering the form fee) explaining that we were unprofessional and "all about the money".

We returned the check with a letter disengaging the patient from the practice.

I am very frustrated. It just seems to be getting worse out there.


Frank J. Paiano, DO, FACOI
Internal Medicine of Central Florida, PA
The Villages, FL