It's pretty standard for them---I only have 1 appointment every 6 months so that gives them plenty of time for them to decide there is no clinic that day for vacation or whatever. My pdoc only has clinic 1 day a week and really only in the afternoon so if you get bumped it can be a couple of weeks difference. Basically she will give refills over the phone though so its not a big deal for me as long as I have my meds. As usual though my options are to deal with it or find another pdoc, but its so convenient to go at work.