LOR Women's Health

To Whom It May Concern;
This patient called my office to schedule a new patient appointment for a prescription for clomid. My scheduler informed patient that she cannot guarantee patient will be prescribed this medication because she is not our current patient, and she needs to be evaluated by the physician.
At check in, patient asked again if she will be given a prescription for clomid. My front staff was out that afternoon and my office manager was covering the front. My office manager informed patient, again, she cannot guarantee Dr. *** will prescribe this medication today because she is a new patient and we do not know her medical history. She informed patient only doctor can prescribe medications so she will need to consult with the doctor. Patient agreed, she filled out all our forms, I discussed history and physical with patient. She informed me she was seen by a fertility specialist; however, that physician wanted to do additional testing but patient stated she did not want her time to be wasted and did not do testing. Patient then transferred care to my office.
I explained to patient based on her history and physical she needs to complete additional work up (lab work, ultrasound, ovulation testing, etc.) before I can prescribe her clomid. I also explained to patient that clomid is for infertility with anovulation and is not indicated for her unless proven she is anovulatory or unexplained infertility after completion of additional work up. I also discussed the risk associated with clomid use including ovarian cyst formation, Hyperstimulation Syndrome, and Luteal Phase Defect. At this point, patient agreed to schedule for further testing.
Again, I spent at least 45 minutes face to face with this new patient and explained why I will not prescribe her this medication before she completes necessary work up. Please contact my office if you have further questions.
Sincerely,

Fariba ***, MD