kmeb I was wondering the same exact thing as I am also in the middle of a SSDI case I was going to send my rheumy a thank you card for Father's Day, maybe I will wait till after the fact as see if he really helps! My pysch doc has already agreed to fill out papers with me together at our next appt....she works out of a huge beautiful home on a river...she is one of a kind...but i was thinking maybe best to do the card thing, and or depending on your relationship with the office and staff go from your heart. I don't want to appear bribing either...it is a tough time....good luck to you! I am in Md. I heard parts of California had new guidelines for ssdi they are testing in areas as well as some other states...hope your'e not in that group! I always do want to thank people who help me....and lately its been the medical profession. They know me by name at our local xray/mri place!