NMC medical department and requests for "amplifying information"

If you give any positive responses on the 719K form, take any medicines ( in some cases OTC medications or even supplements), or if your physician records abnormalities on exam you will most likely receive a letter requesting “amplifying information” from the NMC. You are requested to take the letter to your physician and let him/her handle the request. The thing you need to know is that this letter will be ALL you receive. If your physician ignores the request, or does not supply what is asked for, your application will be placed on hold, and you will [U]NOT BE CONTACTED AGAIN. [/U]Sending a cover letter with all your contact information won’t change this.
So it is VERY IMPORTANT that your tell your physician to read the letter carefully. He or she can call and ask for clarification, but you can’t. You can contact the call center and they can tell you what stage in the process you application is in, but can’t give you details ( be nice to these folks- they work hard and have no say in the NMC’s medical policies). Anyone with sleep apnea, diabetes needing insulin, COPD, or heart disease has to send in [U]lots [/U]of information, and it is up to YOUR PHYSICIAN to do this.
A recent operational change at the NMC now allows non- liicensed personal to ask for amplifying information, whereas previously only a licensed medical professional (MD, PA or FNP) could do so. I would expect some of you will be receiving some interesting letters in the near future…

I just went through this - Apnea and COPD
While a pain in the ass it was far from insurmountable.

App to renew rec’d by NMC 15SEP-ish
Got my ‘Amplifying Info’ later October
Appointments to generate required info not completed until 24NOV (THIS was the biggest pain, getting timely appointments)
NMC rec’d info by 1DEC
Application APPROVED by 20DEC-ish

NMC gave me ninety days to comply with first request. Brought the letter to my Doc and said “Here’s the list of what I need” She was pumped I gave it to her all at once so she could get to it. My concern was getting the appts quickly and if they wanted more, if I would have enough time as my license expired in March.
I opted for the delayed issuance to minimize license creep and should receive my new MMC in a couple of weeks.

Far from painless, it was not the bureaucratic buggering I anticipated

[QUOTE=sailaway;46419]If you give any positive responses on the 719K form, take any medicines ( in some cases OTC medications or even supplements), or if your physician records abnormalities on exam you will most likely receive a letter requesting “amplifying information” from the NMC. You are requested to take the letter to your physician and let him/her handle the request. The thing you need to know is that this letter will be ALL you receive. If your physician ignores the request, or does not supply what is asked for, your application will be placed on hold, and you will [U]NOT BE CONTACTED AGAIN. [/U]Sending a cover letter with all your contact information won’t change this.
So it is VERY IMPORTANT that your tell your physician to read the letter carefully. He or she can call and ask for clarification, but you can’t. You can contact the call center and they can tell you what stage in the process you application is in, but can’t give you details ( be nice to these folks- they work hard and have no say in the NMC’s medical policies). Anyone with sleep apnea, diabetes needing insulin, COPD, or heart disease has to send in [U]lots [/U]of information, and it is up to YOUR PHYSICIAN to do this.
A recent operational change at the NMC now allows non- liicensed personal to ask for amplifying information, whereas previously only a licensed medical professional (MD, PA or FNP) could do so. I would expect some of you will be receiving some interesting letters in the near future…[/QUOTE]

My doctor was confused with their form. It does not make things better. I wish I had known he could call for help. It would have saved me 6 weeks. I was told they do not change the status when they receive the add info. You need to keep track of it. Good luck 4 months and still waiting.

[QUOTE=sailaway;46419]If you give any positive responses on the 719K form, take any medicines ( in some cases OTC medications or even supplements), or if your physician records abnormalities on exam you will most likely receive a letter requesting “amplifying information” from the NMC. You are requested to take the letter to your physician and let him/her handle the request. The thing you need to know is that this letter will be ALL you receive. If your physician ignores the request, or does not supply what is asked for, your application will be placed on hold, and you will [U]NOT BE CONTACTED AGAIN. [/U]Sending a cover letter with all your contact information won’t change this.
So it is VERY IMPORTANT that your tell your physician to read the letter carefully. He or she can call and ask for clarification, but you can’t. You can contact the call center and they can tell you what stage in the process you application is in, but can’t give you details ( be nice to these folks- they work hard and have no say in the NMC’s medical policies). Anyone with sleep apnea, diabetes needing insulin, COPD, or heart disease has to send in [U]lots [/U]of information, and it is up to YOUR PHYSICIAN to do this.
A recent operational change at the NMC now allows non- liicensed personal to ask for amplifying information, whereas previously only a licensed medical professional (MD, PA or FNP) could do so. I would expect some of you will be receiving some interesting letters in the near future…[/QUOTE]

I am going through this now, and I gotta tell ya I am quite frustrated.

I have obstructive sleep apnea, did a sleep study in March 2010, and was prescribed a CPAP machine which I have used ever since.

Now comes time for the CG physical, and I get the letter stating:

Amplifying Information from Physician - Due to your history of sleep apnea (NVIC 04-08 condition # 179), please submit sleep specialist evaluation completed within the last 12 months to include current evaluation of the condition, documentation of CPAP compliance/efficacy. Include documentation on the use of any medications with side effects. CPAP compliance log for the previous 12 months or a current Maintenance of Wakefulness Test (MWT) is required. If the CPAP machine is unable to produce a downloaded compliance log, then an MWT will be required.

So I get a copy of this letter to my physician. I get the compliance log downloaded, it shows all kinds of nice stuff like how many hours I have used it, average use per night, and even shows that I am no longer having the apnea events that caused me to get the thing in the first place.

My physician gets on the horn with the NMC and now after sending this letter, they decide they want a sleep study done because my initial one to determine the need for the machine was more than a year ago.

Now the sleep specialist has me lined up for an overnight sleep study AND a MWT the morning after. I just dont get it. The machine shows I have been using it and that it is doing what it is supposed to do. This is shown on the very compliance log that they ask for in the initial letter.

Should I ask the sleep specialist why I have to do a sleep study AND an MWT?
Very frustrated. Hoping to hear from anyone else who has gone through this.