If you ask you Dr. (s)he will ask you why you want one as it needs to be justified for insurance reasons. If you talk about steroid use, that may go in your medical record and you may have insurance issues.
If you want anonymity, use a private testing lab, such as "Any Lab Test Now" or any number of local diagnostic testing centers that are INDEPENDENT of hospitals. They provide the doctor's "note" and you in no way divulge your insurance info (no need as you pay in full, but it's usually at a discount).
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