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And the MD gets paid for the office visit but not for filling out a form.
In many offices someone on staff fills out the form, the MD reviews and signs it.
Is it practical to go to the office yourself, without your mother, and ask to speak to the practice manager? Or maybe see if you can get the practice manager on the phone?
Or send the form with delivery confirmation..you will know when the form arrived at the office (hopefully.)
Finally, if this MD has not seen your mother in the past 6 months, he may not be wiling to fill out the form as he does not know her current status.
Sorry this is such a big hurdle for you and your mom.
I don't recall if the home care agency called but I believe they did. And the office staff was still balking. That's when I got aggressive and asked if they would prefer that I find someone else entirely to handle Dad's care and they would lose him as their patient. Apparently that worked, and the order was signed.
Perhaps you might ask the admin staff at the MC to call the doctor's office and let them know that care is being held up b/c the forms can't be signed. They (or you) could also ask why someone else in the practice can't sign. In my experience, doctors can go on vacation, or be unavailable, but they arrange for a back-up. Apparently this practice doesn't, but it should. To me, that's bad practice and unacceptable. What if an emergency arose?
Maybe if you sweetly asked for a recommendation to another GP practice, then they'd get the hint. There is NO excuse in my opinion for their failure to comply. And given that you're seeing this now, would it be appropriate to consider finding a different practice in the event issues arise in the future?