I have received a reference for a doctor I worked with previously. A very nice person, and not a bad doctor, but not really all that good either. Sometimes a bit difficult with patients and sometimes would hear about complaints from patients about his approach with them. He was a good diagnostician and used evidenced based treatment, not bad outcomes or lawsuits. I would prefer to just give a generic good reference, and not get into any potentially negative details. Are there any examples of doctors filling out these forms and facing consequences for not reporting certain concerns?