A week piror to ANY first time doctor consult, I always write a detailed but brief one page letter describing things about my history that no office form can fully clarify. You must be as open as possible and confirm the doctor actually read it before you go to your appointment. This will save a lot of time and aggravation as many specialists love to hear themselves talk and make you feel what you have to say is not legitimate or valid. If he responds well to the letter then the relationship between you and this new physician will likely be a healthy one. Its always worked for me in some way or another so I would give it a shot (no pun intended).