My PCP hasn't faxed the letter yet and I've asked twice

I'm just wondering how long a PCP typically takes to send the medical necessity letter and medical clearance. I've asked twice but didn't sound like there was any immediacy to the request. I would think that if there was a problem, he would call the surgeon's office, correct? When I go to the surgeon tomorrow should I request that they call him? Not sure how to proceed here.

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