MD - Has anyone recently had a TT w/ Dr Marcus of Sil Spring?

The info i recvd states that i must get a note from my PCP stating that i have been treated for months for rashed due to the panni. I do not have rashes though i do have a large panni. I have a hernia and would love to have a TT done but my Dr office will not send for ins. approval without this. What do I do?

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