Do you see any downsides to having written policies?Meh. In my practice, we sniff out the obvious drug-seekers easily enough, and if one does sneak though occasionally, it's no big deal. I know how to say "no" politely, but still charge for the office visit. Thing is, word travels fast. If they can't score from you, they'll tell all their friends. It doesn't take long until they quit trying.