What are options are available when PCP does not wish to provide a referral?

My PCP has denied me a referral instead suggesting that I participate in a program similar to OptiFast that the medical group coordinates. I have done OptiFast before only to lose and gain more weight back. I don't want to do this. What are my next options? Can I switch physician's? I have Pacific Care HMO. Is there a list of PCP's that are known to be more sensitive and willing to refer that I can switch too? Please Help!

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