We rate practices, not people. All providers start at the Preferred level.
Trusted (≥ 5)
Preferred (0–4)
Watch (−1 to −5)
Under Review (< −5)
Evidence we consider
- Primary documents (redacted): evaluation letters, monitoring recommendations, formal correspondence.
- Corroborated reports: two or more independent submissions describing the same practice.
- Public records: court filings, consent orders, published policies.
- Expert statements with disclosed conflicts.
Scoring
We compute a simple point score from verified, recent (~36-month) inputs. Positive practices can offset concerns.
- Each corroborated report: +1
- Each primary document: +2
- Each confirmed public record: +3
- Each positive practice: −1 (min 0)
Tier thresholds (current): Trusted ≥ 5, Preferred 0–4, Watch −1 to −5, Under Review < −5.
Right of Reply & Updates
- Providers are notified and given a right of reply before publication or tier changes.
- Provider statements may be published alongside listings.
- A dated change log notes updates to each profile.
This directory is a good-faith consumer resource and not medical or legal advice.