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Germany: If I'm sick and want an appointment asap I just go. They tell you to call in advance but if you do they give you an appointment for another day and if you just rock up they tell you to sit down and wait for the doc. Which can take anywhere between 5 minutes and 5 hours, at least that's about the range I've experienced. Oh and not sure if that's only a thing here but it's common to awkwardly greet the other patients when you get into the waiting area.
Seeing the doc would be similar to the US I guess, except there's no need to discuss money. Doctors shake hands here, maybe that's different from you but Idk. After the appointment you check in with the front desk again to fetch any prescriptions (although those are mostly digital since last year) and notes you may need for work. That's also the time to book a follow up appointment if you need one.
Cost depends on what you got. Getting extensive bloodwork or some less "necessary" exams for example aren't covered by insurance. There's a flat 5€ fee for prescription meds and 10€ per day in a clinic. If you don't have enough money you can let the insurance company know and they'll cover some of those fees too.
Yeah, I'll pass sitting in a small room with more sick people.
Don't you think if this was an issue we'd have addressed it by now? 😅
Call ahead and schedule an appointment saying you are sick and need the AU for the employer?