Being charged for a motivation letter!

How appalling to visit a Psychiatrist feeling suicidal, having it be the first time ever to visit one, having a subsequent visit, shelling out R7000, then asking for a motivation letter for Medical Aid to help with funds to pay HER, and snapping after being told, by the receptionist, that this would cost me a further R450+ Are you kidding? I'm still in progress and being charged for a letter? I was so disgusted that I cancelled my next appointment. But the fact that the receptionist said "Noted" and nothing else (after my negative response and cancellation) hurt me the most. Since I was in a very precarious position with my mental health, I feel horrified that Dr Markus has not reached out to check on my well being. My view of mental health professionals has gone right down the drain. It could be that the receptionist is controlling this narrative but I intend to 'not stop' until Dr Markus responds.