This doctor is very unhelpful and not willing to give prescriptions or referrals unless you come in for an office visit. Even for routine medicines such as allergy and asthma RX refills, he would not issue a new refill prescription unless I came in for an office visit. He is generally unwilling to give referrals to specialist and usually tries to put you off by recommending you try something else first and then come back if that doesn't work. Well, I don't have time for that sort of thing. Overall, visiting this doctor the few times I had to was a very frustrating experience.