I offered to pay mine for the letter but it still didn't help. (She did not accept my offer.) I'm really not sure what her problem was. (She never revealed to me why she was not being helpful.) I think it is good for providers to have a system for doing paperwork and just tell the patient their system (like my T does--he fills out papers during our sessions) instead of dragging their feet and being unhelpful. Work out a way to deal with it and then do it--it's all a part of doing business, and whether docs like it or not, a medical practice is a business.