I am not sure - I don't think my PCP submitted a referral to the surgery department as I haven't received anything about orientation....she agreed to the referral and said that she is doing my labs, dietician appointment and psyc referral (all appointments have been made through Kaiser Hayward). I hope I don't have to repeat these appointments, though I can't see why they'd pay twice for them....I wish I'd get an orientation appointment - it would make me feel like it was official.