Our position on prescriptions and diagnostic tests requested by third parties
Here, we explain how we handle this at SGH health centers.
No prescriptions for cosmetic treatments performed by third parties
As general practitioners, we do not issue prescriptions for medication or anesthetic creams in preparation for cosmetic or non-medical treatments performed by anyone other than a general practitioner. Examples include EMLA®, Flammazine®, Tretinoin, hydroquinone, or valacyclovir. These substances fall outside the scope of standard medical care and may pose risks to both the patient and the prescribing physician.
A prescription may only be issued if there is a medically necessary indication, which must be determined by the treating physician. In addition, the pharmacy also assesses whether a prescription has been issued appropriately. They are responsible for this.
We understand that some healthcare providers ask patients to order these products through their primary care physician prior to treatment, but we do not do this. These creams are often available over the counter through regular retail channels; for example, EMLA® patches are available without a prescription.
No diagnostic tests based on third-party recommendations
Diagnostic tests (such as blood tests or other tests) are performed only when ordered by your own primary care physician. We do not perform tests at the request of other (non-medical) practitioners or commercial institutions. These policies allow us to continue providing safe, responsible, and effective care in accordance with professional standards and guidelines.
Why this is important
Prescribing medications or ordering medical procedures without conducting a medical assessment can lead to:
- unnecessary risks or side effects;
- unclear responsibilities;
- disciplinary consequences for the prescribing physician.
We take our responsibility in this matter seriously and want to protect patients from unsafe or inappropriate care.
Questions?
Do you have questions about this, or are you unsure whether a treatment or test is medically necessary? Feel free to discuss this with your primary care physician. Together, we’ll determine what is medically appropriate for your situation.