I am a patient of Dr. Mariano. So far my experience with he and Paulette have been positive.
Why don't you start a thread on his forum? Probably the majority of people viewing his forum are his patients. Maybe you'll get more of a response there. It doesn't seem that there has been much of a negative response on this forum, relating to this issue.
I would say that it takes Paulette about 5 days to send the treatment protocols, etc. to me. I feel this is not too long to wait. There was a time not too long ago that I had a problem with a med he had me start. Paulette shoehorned me in Dr. M's schedule very quickly to have it straightened out.
Like I said, I have nothing bad to say in general or about treatment itself. Just that I cannot get the authorization I need in order to have some tests done that I previously requested. 5 days or even a week is reasonable. 3 mos. is not. I notice on his forum, he hasn't been on it since last year and many are asking the same question, wondering whether he's still practicing (which we know he is).