After more than one month my specialist did receive her referral letter, I had to go to her office to pick it up. Before I went there, I called the office four times. Also the specialist office called her multiple times. The specialist actually was arranged by her office. Even when I went there, I was told I have to wait for another 3-14 days to get insurance approve. After I complained to the office coordinator, I gave me the referral letter and told me I don't need to wait any more days. She dropped me as her patient because I complained about it.