I've had one c&P report and it was in 2002. My award letter stated that no other C+P exams would be  required. I've submitted my 2011 letter stating my award amount and that it's permanent in nature . My new doctor has not recieved my medical records from my old doctor. He has requested them twice now. When I call the office my old doctor, it's no longer in service. He died in November and I was never notified. I only found out when I called for refills to tide me over during my move and before I could get in to a new doctor. I actually had to go to an urgent care to get medication when I first moved to this new state. This new doctor has only seen me once, and honestly I don't blame him for not being comfortable writing a letter stating that I am permanently disabled.  I don't understand why actuall letters from the US gov won't suffice