I am already on medications that work for me from another provider and I just need a refill, do I really have to go through all this?

Yes. We do review the treatment plans for every patient that we see. Sometimes we agree with the current treatment and other times we may have a different recommendation.  It is our ethical obligation to do a comprehensive evaluation of your care before we assume prescriptive authority for any medication.  If you feel you have been stable on your medication for some time and only require a doctor to provide refills, it may be that refills through a primary care physician would be more efficient and less costly for you.