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Miller recently facilitated a strategic planning session aimed to reinforce a new organizational structure designed to be responsive to the needs of APON members and the public . Referrals are not needed for in-network services . When I or my loved ones need medical treatment we go to the doctor we choose and decide with him / her what treatment options are best and then proceed . No stamps are needed , and e-mail wo n't molder for months in D.C. - - it 's delivered around the clock in seconds . Who has a special need ( based on health or previous experience of torture or trauma ) in respect of which a medical specialist appointed by Immigration has certified that the non-citizen cannot properly be cared for in a detention environment .