You are correct Ches....I am probably the only doc in my area that sends a detailed list of meds and problems to specialists when the referral is made...it takes time....but I get the same response from them when I get the patient back from the specialist...it took 7 years with the help of AC to get to this point..I remember as a resident that I was yelled at by a rheumatologist when I sent a patient to him without information....his scathing review of proper procedure still is true today.....