My PCP won't support my WLS decision
The head PCP who signs/approves everything from my PA would not write a letter for me either. The PA was actually for the surgery and she had one of the office staff photocopy my entire file free of charge.
There's ways around it. Just make sure you have documentation, documentation, documentation of your medical problems.
And it doesn't hurt to throw in the entire federal Americans with Disabilities Act. Bog them down with paperwork. I sent the insurance company over 100+ pages of documentation. They didn't want to read thru all of it....they approved me first time around.
Good luck!