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I just had the same thing happen to me. As appalling as i think this practice of charging extra is, at least people should be made aware that they might be charged extra beforehand. As a matter of fact, I think a complete listing of all charges that may be incurred at the office should be available in a stack in the lobby for full disclosure and under what conditions more charges might be added. I also think, to the doctor who posted,... if you are not willing to hear some griping and complaining from patients at a physical exam, then I believe you are in the wrong line of business.