This is the only LOR I have read; I had waived my right to see all the LOR's. I gave all my references a packet of info with addressed envelopes and a due date well in advance since none of my programs offered online LOR's; some schools had additional recommendation forms. This reference gave me a designated day to pick up my packet, and even reminded me the day before what time I could pick everything up. When I arrived he immediately rushed through the paperwork, insisting I wait, and even instructing me to explain what some of the forms were without reading them. It was a very awkward and rushed situation. I am applying for competitive clinical and research programs in healthcare. I don't know the average quality of the LOR's in my field, but I greatly respected this reference's opinion and he is normally very honest and thorough; rushing through anything is very unlike him. What bothers me is that the letters and forms contradict each other.