Actually, they could have but I was trying to hold off until after the first of the year since my insurance started 11/7/10 and I did not want to pay a deductible for 2010 and then in 2 months start over for 2011. Guess my body had other plans because i had to have blood tests drawn from my PCP for sed rate, C Reactive Protein and a Rheumatoid factor before they could even begin the process of making a referral. Apparently it will take up to 6 month but even longer if you don't complete the required labs. So, i will end up eating the costs of those but felt the testing for gluten sensitivity could definitely wait until after the first of the year.