Hello and Welcome to the Pain Management Forum.
When you say" Nurse" is this a NP? Did she follow you and order your meds? That will determine how much clout she carries.... either way I think you have a right to be heard.
I don't know the specific laws of your state but you have a letter that basically is a contract. At the very least she has to abide by that contract.
I agree that a personal visit to the clinic with your letter in hand may be benifical. I also suggest that you begin searching for a new PMP now. I would also write a letter to the PMP stating your case and innocence. Send one through the mail and deliver a copy in person. Make sure it says "File letter in my medical record."
What's right and lawful may not be the immediate issue as the Nurse has apparently chosen to follow her own path. However I wouldn't let this go. All Nurses have rules and regulations to follow as dictated by the state nursing board. I would contact them also. But again any legal process will most likely take many months so begin an immediate search for a new PMP.
Good Luck to you! Please let us know how this resolves. We'll look forward to hearing from you.
Take Care,
~Tuck
My advice is to go to the dr office in person armed with the info u gave here (the letter stating u get ur meds for 1month, when and who u talked to, her responses etc). Nicely ask to speak to the doctor or the office manager. If that doesn't work tell them you will be contacting ur attorney for breach of contract and slander - the nurse accusing u of not doing a pill count is slander and will be entered into your medical records. Try and be as polite as possible. If that doesn't work ask for your records then and there Maybe you can find another dr that will help. Good luck. Keep us posted
Threaten legal action to get some attention.