We are not able to help everyone that comes to our office for care. Some patients have neglected their health for so long that they would be better suited to be under the care of a medical doctor. These people we refer out right away and they appreciate it when we are upfront with them from the start. Other patients have serious medical conditions we discover upon our exam, and we send them to their MD for an evaluation. Other patients we won’t accept as a patient because we don’t feel they are going to be able to maximize the benefits of our care for various reasons (i.e.-not the right time, not committed to care, non-compliant, don’t feel it’s a right fit for our office) so we are upfront with them and won’t accept their case. We have helped a lot of people in the past, but that does not mean we are a fit for everyone. We only accept those who will truly benefit from our care.