Leslie,
Two issues here: patient privacy and the pita factor. As to the first, of course the pharmacy must have a signed release to get the note; otherwise you don't need to discuss it any further with them.
As to the hassle factor....I am surprised at you! Bev said "wasn't it Leslie who told us to charge for all of those Medicare review charts in the first place?" So tell the pharmacy to fork over a signed release and your chart copying fee, and then you will send the chart.
As to the entities right to the details on an FMLA, work slip, or anything else; these are completed as part of a visit. I usually ask the patient if they would prefer something vague like "the patient has medical issues which may require missing time from work" OR something specific like "the patient may have 8 episodes of watery and mucusy diarrhea daily and may need to miss time from work". If the patient is releasing the information, I let them be my guide.
