Oct 3

Can we expose the document(s) naming the supervising physician? Why was this done in secrecy?
So far I have not been able to get a copy of any of the documents corcerning this:

"Note dated: 10/03/2003  16:22  Cottonwood CBOC telephone contact
Visit: 10/03/2003  16:16  Cottonwood telephone
Ltrs from pnt and notification alerts that pnt is to be assigned to M. D. at Press VA Hosp. dictate the need for this consult request.
To facilitate prompt continuous care an Oncology consult is requested to Tucson Va today for eval of two melanoma (by pnt History).
Fee basis is not authorized IAW with Dr Melvin, Chief of P & SC and Dr Jackson has advised pnt where he should seek care for this dianosis.
Signed by:/es/Thomas A. Bast APN 10/03/2003 16:38
Receipt acknowledged by: /es/ Gary R. Melvin 10/06/2003  07:35?

2004.07.14 Anthony O'Connell to Thomas Bast
"I hope you are well and I thank the VA for saving my life .
Would you please tell me why my primary care location was changed from Cottonwood (enclosure: "You have been assigned to the Cottonwwod Team") to Prescott (enclosures; appointments for January 5, 2004)? I had no idea that the January 5, 2004, appointments changed my primary care location from Cottonwood to Prescott until after I arrived at Prescott on January 5 and was told by a volunteer at the reception desk. Would you please tell me who did this and why?
Would you please give me your email address?
Thank you"

Hand written on Veteran's July 14, 2004, letter to Thomas Bast
"19 July 04
1700 hrs
On 3 Oct 03 your case was
discussed with supervising physician.
care is best managed by a doctor.
Since there is no M.D. here at Cottonwood
clinic your transfer dates back to
3 oct 03.
T Bast, FNP (seal)
Thomas A. Bast 
Family Nurse Practitioner"