@colleenyoung thank you, Colleen. I searched your website earlier and found a international local office and called. She explained why the repeat estimate and what I need to do next. I also have Myasthenia Gravis, Recovering from a flare and energy and ability is unpredictable. I need to Plan every activity with rest. If I don’t know what ahead of me it’s difficult because I may have days Of inability to do anything. July 24 I received an email stating a Team member will reach out soon to guide me through the next steps in the appointment process. I did receive a boilerplate email from someone but not the guidance I need. perhaps I misinterpreted, but could not get clarification. And now I will lie down for an hour thank you again for the validation and information.