If you're still with the same therapist (Dr. Borer) and he recommended you to Jacksonville Center for Reproductive Medicine (Dr. Fox), honestly I find that slightly surprising (I go to both of them). They didn't even have my letter until my 1st appointment when I went through some of the new patient stuff, and he pretty much accepted it right there. Basically he went through hormones and effects and all that, said it was good that I had a letter already, I signed an informed consent form, and he gave me T blockers and progestin inscriptions right afterwards, as well as a blood test order (I'm mtf, and I guess it helped that I already had some blood tests done in October. Needed another blood test before they prescribed my Estradiol injections, though.).
I have a decent memory remembering people on forums and internet and stuff. It's good that your pushing this issue to them because I haven't been having the problems you've been having.
And good luck with your appointment. I'm sure everything will sort out for you.