CoHorn - Haha. You're way outside the box anyway. Somehow, I don't see that suggestions working out, though. :P
ithyphallicus - Thank you.
The Proper Stranger - Great post. On the subject of P411, while those changes might be nice, similar thoughts have been brought up to Gina before, and my impression is that she's not real keen on the idea. She has a system that works for her, and that's great. It WOULD be nice if someone would come along with a different system that was geared more toward what we providers might find helpful, though. P411 IS a great tool, but a much better tool for you guys than us ladies.
Lisa - LOL. Thanks, hun. I could not figure out how to get that point across.
txhunter56 - Yes it did, hun, and you are a shining example of why I love to be newbie friendly.

As for your question, that really shouldn't be necessary. If you like, you can let her know that she's welcome to contact any of your okays, but really a lady either will or won't... she won't wait for permission either way. Now, if you have references that are NOT on P411, and you think she may have trouble getting responses from your okays, you might throw out there that you have more refs if she needs them.
Dannie - Thanks, hun.

And yes, that was my point exactly, that "okay" means many different things to many different people. It WOULD be nice to find some new methods, but I think what we are discovering is that we need a new reference system. One geared more toward the provider's needs, that way screening is MUCH easier for everyone. Something more like what The Proper Stranger was saying...