Frankly wrote:are you a tax professional dedicated to serving your clients and solving their tax issues?
That seems very judgmental about how others choose to run their tax practices. We all pick and choose which areas of practice we specialize in. And there's nothing to feel bad about turning away someone -- in all sincerity, I believe H&R Block fills a valuable role in this regard. They never turn away anyone, and as a large corporation, they are in a far better position than me to charge the client fairly and absorb any extra risks for special handling, such as that required for a taxpayer with dementia.
For example, when I was at H&R, I had a 95-yr old client with several years unfiled returns, I made several trips to her assisted living facility to help her complete the returns and write the checks to get caught up, since she couldn't easily come to the office. That is not something I am likely to do in my own solo practice (think of the liability for elder abuse allegations! Helping her write checks in her bedroom!). But I don't agree that makes me somehow less professional.