I'm being told that it is often customary for the people providing mental health referrals to surgeons to write TWO letters. The first introduces them and says that the patient is working on the requirements. Then ANOTHER one is sent shortly before the surgery, saying I'm ready.

My surgeon's office didn't mention anything about this. They made it clear they need only one letter for each referral.

Has anyone HEARD of this?

What I have on instruction is two letters one from the primary therapist the second to confirm the primary. It is in most surgeons instructions look up McGinn, Brassard or Suporn pages or email them.

Deal with the surgeon follow what they want. They have the knife after all

And calm down honey!!! These arseholes go negative when you scream at them.

Sorry

C

You mean each mental health professional writes two letters EACH? No, never even heard of it. I only needed two letters total for Brassard - each letter from a different person, both written at the same time. My letters *did* say I was ready, so I guess that was an included element, but...

No. Never.

Sounds weird to me. 

I actually ended up with a single letter from a group practice, where my therapist signed the recommendation and his boss who was a psychiatrist MD added a single paragraph of his own, and then signed it in his name.  Turned out the people most picky about it was the hospital's insurance carrier and they did not even read the darn thing.

im having surgery in march in Arizona and I have only provided 1 letter and they state in their website that they need two ,  i havent asked any questions about  it  ether  lol  should  I   ..

Don't worry so much about the letter stuff. Truthfully it's a bunch of baloney. I only had 1 letter from my primary therapist and one letter from a psychiatrist that I had a single session with. That's it. The primary therapist is the most important one, the other is not so important. The day after your surgery you are going to wake up and realize that the standards of care was a tempest in a tea cup.

Just do our thing, bide your time, do whatever they ask, and in what 6 months it will all be over. Then you will look back on all of these posts and laugh.

When I went to Canada no one even looked at those letters. They were put in a manila folder never to be seen again within the first 5 minutes. I was there, I made it and "I" was ready, that was what mattered.