I’ve never once taken a letter to an appointment. Usually they just tell you the time and place of your appointment. Unless the letter explicitly states you must bring this with you then why would you bother.I don't believe this at all.
Appointment letters aren't vital in most healthcare settings because they have your name on the system
She's also falling over herself to claim she tries really hard to be early to things and not inconvenience people but her idea of "the hardest I've ever worked" was the week of prep for the Once concert?