The document lists 11 signs that an organization does not need to consult the I.T. Doctor, including that projects are delivered on time, the business continuity plan is a top priority, survey results are taken seriously, the business understands the cost and value of IT, IT does not show the business the "slow" sign, things do not break in production, systems are trusted, and the organization has a technology edge over competitors. However, if these signs are not present, the friendly neighborhood Dr. I.T. is available for consultation.