GuidesThe Ultimate Business Guide For Orthodontists

Chapter 21: Knowing When to Turn Away a Patient

Protecting Your Reputation & Mental Health

It's Okay to Say No

You are not obligated to treat every person who walks through your door. If a patient raises multiple red flags, trust your instincts and politely decline treatment.

How to professionally turn away a patient:

  • “I don’t think we’re the right fit for your needs.”

  • “Based on your expectations, I believe another provider may be a better match for you.”

  • “I appreciate your interest, but at this time, I’m unable to take on your case.”

  • Protect Your Office Culture

    Your practice should be a positive, supportive environment for both patients and staff. Allowing toxic patients into your practice disrupts that culture and makes work less enjoyable for everyone.

    Value Your Mental Health

    Dealing with difficult, demanding, or negative patients is one of the fastest ways to feel burnt out as an orthodontist. By being selective about who you take on as a patient, you’ll create a healthier, happier work environment—for both you and your team.

    Not every patient is worth the stress, time, or energy. By recognizing red flags early, understanding which patients to avoid, and protecting your practice culture, you’ll create a thriving orthodontic business that serves the right people—while keeping your team and reputation intact.

    Final Thoughts

    Not every patient is worth the stress, time, or energy. By recognizing red flags early, understanding which patients to avoid, and protecting your practice culture, you’ll create a thriving orthodontic business that serves the right people—while keeping your team and reputation intact.