Surely the office will have an office manager that you can write an official letter of complaint to. Also the state board of health. Always make copies of anything you send off to some one. Some people also send their letters by registered mail to make sure they actually get signed by the department they are to go to but I know that costs money. Medical schools should be wonderful as far as having up to date physicians. When I was working as an RN we had one patient that really needed a cardiac procedure but had very little insurance and it wasn't approved. Well it needed to be done and his doctor wasn't going to say no. Our hospital was a training facility for family practice residents through a local school of medicine sattelite setting. So they set it up that some of the residents had to watch the procedure and the charge wold go through to the school!!! So there is always a way. Good luck. You deserve it.