I am an American planning on applying for PR in February through spousal sponsorship. I had my upfront medical done on my last visit to Vancouver. Since I am taking an antidepressant, the panel physician said she needs a psychiatrist report. She also typed up a referral form with the name and address of the clinic that I go to. This form basically has the psychiatrist verify my identity and then sign and date it after writing up the psychiatrist report which should contain my mental health diagnosis, how it is managed (i.e.medication), whether I've ever been hospitalized for this condition (which I have not), prognosis, whether this condition renders me unemployable (which it does not), and if I am a risk to self or public safety (which I am not). My primary Dr has been managing this for a little over a year now but referred me to a psychiatrist when I decided to change medications. I saw a psychiatrist in September for the first time. His nurse called and said he wrote up the report but refuses to say that I'm not a risk to public safety because he can't do a criminal history check on me. I explained to his nurse that that is something separate and that I have sent off for an FBI check. It's just his opinion if I'm a threat to public safety regarding my depression. She said that he can't verify that because he's only seen me one time. She also said that he won't fill out and sign the referral form. I told her that it is just verifying that I am who I say I am and that he wrote the report. She again said the he won't sign it. My next appointment is in January. I'm hoping to have my FBI clearance by then so maybe if I show it to him then he can feel confident in saying that I'm not a risk to public safety. I've thought about switching to a different psychiatrist but the nearest one is 2 hours away. I've thought about going ahead and visiting Canada and seeing a psychiatrist but I need a referral and it looks like the wait time is approximately 3 months. And neither of those options guarantee that they will write the report and sign the form, especially if it's just one visit. I just don't know what else to do at this point. I know they can't reject me for depression but they can reject me for an incomplete medical. Any advice??