Heres my conclusion to this little episode: I did go back to the doctor's office with HIPAA in hand, all highlighted and ready to go, but never got a chance to present my case. They had my last PE copied and ready to go and acted like it had been their ideal all along! So I figured why start a fight, signed the release and got the heck out of there. The PE looks kosher, hope the OP feels the same way.