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[Music] another question weve had is what if I need a medication refilled or a change in my medication whats the best way to get that accomplished well in Family Practice we try for our patients on chronic medicines to schedule a routine appointments and for some patients that maybe once a year others every six months every three months so we try to get those refilled questions addressed at the regular visit however sometimes we we dont get it exactly right and so the medicines need to be refilled and the patient really doesnt have an appointment if they if the patient has kept up with their appointments we can do those over the phone so we have nurses that just stay on the telephone to answer refills the point of confusion there is if its been a long time since the patients been to the office were probably going to want him to come into office before a refill but if the patient has kept their regular appointment schedule we can call in almost all medicines not all but almost al