I am very concerned that the wording of this document may mandate that a physician violate his/her own conscience in referring a patient for a procedure to which the physician holds an objection on a moral, ethical, cultural or faith basis. I am a retired RN. In my experience, physicians did not have to refer patients for services to which they objected however, patients were provided with the necessary information to seek out those services, should they wish to do so. Respecting the patient’s right to access services should not require violation of the physician’s right to have their personal perspective respected as well.