2 /5 Denise Gage: Dr. Citrons NP Gail Smith was very attentive to my issue; however, the USMD system is awful! In order to call with a concern or get an appointment you have to go through their main call center. Then if you are lucky, you will be transferred to your doctor office. When a referral is made is remains in their system and is not scheduled for 24-48 hours despite the reason. For my dad, it wasnt scheduled at all. The call center said 24-48 hours to get approval but it had been three days. When she checked she saw no authorization was necessary so scheduled it 3 weeks out! This was for an urgent care situation. Once again the call center person determined whether it was urgent rather than assuming the PCP referral indicated that. The CT referral did not show up in their system and was scheduled a week out from when it was ordered. Overall, a very frustrating experience!