@sacole Each Mayo has a Patient Advocacy Office and personnel to assist you. They don't make decisions but will investigate with the section to get answer for you and hopefully a good outcome that you want. There may be a good reason or could be just Mayo Policy that does not allow. But allow the patient advocacy department to help you get the answer and address the reason the non referral was done.

They will investigate and get back to you.

@sacole, getting that denial letter is tough. Unfortunately, Mayo Clinic has more requests for appointments than available openings. In addition to the helpful tip from @jc76, you can find tips shared by mmbers in this discussion:
– Can't get an appointment: Any tips on what to do? https://connect.mayoclinic.org/discussion/cant-get-an-appointment/

@sacole, This has to be hard to hear after having so much hope. I'm not sure what type of condition you are facing but be assured that there are many very good healthcare institutions across the US. Mayo Clinic is known to be best overall, but don't despair as there are many other institutions that excel in specific areas. I usually recommend looking for a large health care center that is known as a teaching hospital. These types of centers are often involved in research, giving them access to the latest innovations. They will also have a team approach to care, so you're getting input from many experts and clinicians. Best of luck to you on your search for the care that you need.

Try Cleveland Clinic in Cleveland Main Campus . They are awesome. People travel from all over world to go there . My Mom had major surgeries there .

Also Johns Hopkins in MD . So many top notch Teaching hospitals . Google
I waited 7 months to go to Mayo Jacksonville, for 3 tests . Cost over $3500 w/ my insurance! They couldn’t even help me . Gastro Dept .