Bert, my practice regarding refills could not be more different than yours. At each visit, patients are asked whether they need any refills, if they need refills, at the visit, we provide sufficient refills to the pharmacy to last until the next visit. Patients have been instructed not to run out of medication, as if they have run out of refills it indicates a need for follow-up. The standard of care in this community is to see everybody who needs medications at least yearly, some medications and some conditions may require more frequent visits. I wish there was a way of blanket denying refills on Amazing Charts to get them out of my inbox, but matching prevents this, and some tend to be pharmacy mistakes. I am very annoyed by the following: Refill request, by fax when they could come electronically, and also any refill request for controlled substances as that would require a visit per office policy. Marlon