If my doctor was so bad about the labs I would change pdocs. My pdoc has her secretary put labs for clozaril patients in a place where she signs them as soon as she goes to the secretary's desk next and the psychiatry department makes sure they are covered if she is gone. Then they are immediately faxed to the pharmacy. I have never had trouble with this and have never missed a single pill because of my doctor. I did miss some this last few weeks but that was because I was too sick from needing my gall bladder removed to get to the lab.

My pharmacy tends to mess things up but usually it is in my favor, like not enforcing things like bloodwork within a week of refills (is that right?) and when I was on weekly labs they still filled for a month.

Putting a patient on clozapine is a commitment on the pdoc's part and if they can't keep up with it they need to not prescribe it. Your medication should not be so stressful.