Military friends, need input: I asked my PCM (a NP) for a referral today to a dermatologist for a skin cancer check. I haven't been very good about getting them done as often as I should. I'm considered 'high risk' because of my coloring (duh) & my dad has had several cancerous spots removed. (several LARGE areas) My PCM denied my request & said he would do initial screening & if needed would consul dermatology. Can I tell PCM "no, I'm not comfortable with that, I want the referral"?