After a superficial examination, the doctor asked to speak with Tiffinny’s mom privately. She says he reminded her Emmaus is a religious health clinic, and, according to Oorbeck, told her, “‘We don’t feel comfortable with Tiffinny’s presence in our office.’”

“‘We don’t see transgendered patients in this clinic,’” Oorbeck says Dr. Scott Waclawik, a family medicine physician, explained.