Them not looking at your records means they are in it for pure profit, i bet you they have like a 5% turn away rate. Right now with the lines so blurred you can get a recommendation for almost anything. Do I care no, because i think cannabis should be legal.
But I don't understand why people go to these for profit "weed" doctors. If you are legit go to YOUR doctor pay a co-pay and get a recommendation written and save your self $180... If you don't have an open and honest relationship with your doctor and he/she doesn't already know you smoke weed YOU ARE DOING IT WRONG! If you doctor is not open to mmj get a new one as then it proves that he/she doesn't not keep up to date on medical journals and I would tell them that to their face when you leave. 200$ is a rip off as registration to the state was set at $50...
http://www.mass.gov/eohhs/docs/dph/quality/drugcontrol/medical-marijuana/medical-marijuana-faq.pdf