Sometimes an assessment ends without a letter
This is the least commercial page on our website and the one we would most like you to read. An operation that issues a letter to every single person who pays it is not conducting assessments. It is filling orders, and the paper it produces is worth precisely what that implies.
Why a hundred per cent approval rate is the warning sign
Consider what an assessment is for. A professional is working out whether a condition exists and what part the animal actually plays in it. If that enquiry is real, some proportion of the people who begin it will not meet the standard. That is not a flaw in the process; it is evidence there is a process.
So when a service advertises approval for everybody, or approval within minutes, it has told you something specific: no judgement is being exercised. The form is the product. Whatever arrives afterwards carries the authority of the form, which is none.
That matters most at the moment it is questioned. A document produced without assessment tends to collapse under any scrutiny at all, and the person holding it discovers this in front of the one audience they needed to convince.
We would rather decline you and say why. It costs us the sale and it is the only position consistent with the paperwork meaning anything for the people we do assess.
What actually happens if the answer is no
Five stages, and none of them involve silence.
The usual reasons an assessment ends this way
None of them are judgements about you as a person.
What you leave with
If you disagree with the outcome
Say so, and say why. A professional judgement is not a verdict handed down from somewhere unreachable, and the reasoning is written down precisely so it can be examined. Where something was misunderstood or left out, that is worth raising.
You are also entirely free to seek an opinion elsewhere, including from somebody who already treats you. A clinician with a long-standing relationship to you knows things a single consultation cannot surface, and their view is not worth less than ours for having come from outside.
What we would ask you not to do is take the decline to one of the sites that approves everybody. The letter you get there will cost more than money at the point somebody examines it, and the position you end up in is worse than the one you started from.
Questions about declines
Will I be charged if I am declined?
Does a decline go on some kind of record?
Can I apply again later?
What proportion of assessments end this way?
Why we will not approve in minutes
What an enquiry genuinely requires, and the price of buying haste once somebody examines the paper.
How clinicians join the network
What is checked before anybody assesses anyone, and what keeps being checked afterwards.
If we get something wrong
Corrections, refunds and how to escalate past the person who gave you the answer.
The Resource Center
Open to everybody, including people we turned down. Every jurisdiction covered, with sources named on each answer.