Wow, super disappointed. Dr. Germin is the first neurologist who truly understood my migraines and finally provided me relief after 15 years of suffering. When I called to make a follow up appointment today, I was told that I needed a referral. My insurance does not require referrals to see specialists, but apparently Dr. Germin does now. Unfortunately, my PCP will not give me a referral to Dr. Germin because he thinks Dr. Germin is a terrible physician. I disagreed strongly with my PCP, but now I'm SOL and need to start from Square 1. Go elsewhere!