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Yea it’s frequently a legal thing/benefit to the patient. Maybe you can ask at reception when you check in for some time alone with the doctor?
Totally depends on the situation. Most doctors do this to limit liability (e.g. a patient saying they touched them inappropriately, a patient seizes and they need immediate help).
Is this for an examination or for a readout of the situation? For the former, it’s unlikely a dr would do this without someone else in the room. For the latter, you could simply call the dr after, perhaps, or they may be able to accommodate once you’re dressed.
It never hurts to ask. It is your time and your dime. If you are more comfortable one on one and need that to develop a trusting relationship with a doc, explain that and see if they can meet that need. If not, look for someone else. It took me a while, but I have found docs that I click with. They are all women! I found that the male docs I was seeing stopped being friendly when I asserted myself and asked challenging questions. 🤷🏻♀️