He would 't help us when we thought a family member need an exorcism. He sent us through the local NO channels.
I believe this is because exorcisms function on jurisdiction.
So jurisdictionally, a person would be required to go to the local priest first, hear his consultation, before being recommended or brought before a "higher court" so to speak.
It's like anything legal in a civil sphere: first you bring it to local authorities, then, work your way up the chain if necessary.
There is a chain of command.