Where can I get a preop medical clearance?

My pcp refused to do it because she thinks I should not be having this type of surgery at my age. I am 23 years old weight 145 and height is 5'1. I'm healthy and my lab tests came back normal. She told me that she was not willing to do it because she thinks people who get cosmetic surgery have a "self image problem" and should see a psychiatrist rather than getting surgery. I've tried urgent clinics and they wont even do an ekg unless it's for chest pain or with a doctors referral. I need advice