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Re-Examination Form
New Personal Injury Patient (Motor Vehicle Accident) Form
We understand that arriving at a chiropractic office for the first time can be nerve racking. If you've never experienced chiropractic care before, you may not know what to expect when you come to our office for the first time. Filling out paperwork, learning new faces, and getting to know your way around the office can be an overwhelming experience. That's why at Performance and Spine Chiropractic Center our aim is to remove any unnecessary stress or tension and make you feel comfortable during your visit with our chiropractor.
In this area of the website, you will be able to take care of the items necessary for your chiropractic visit prior to arriving, in the comfort of your own home. If you have any questions at any time, please don't hesitate to contact us!
What to Expect
In some ways, one could say that chiropractic care is a bit like building a house — certain things have to happen in a particular order in order for everything to stand strong and work together correctly. When building a house, if you tried to build your walls before you had a solid foundation, your walls would be weak and eventually may even collapse. If you tried to build your roof before the walls were ready, you would run into the same problem. These concepts apply to your body as well, and chiropractic care addresses many common reasons why people experience pain and other health issues. If something is not right with your body's foundation, than that needs to be addressed before true health can be achieved. With chiropractic care, your body has to go through a particular plan of care in order to repair itself correctly and fully. There are three general phases of chiropractic care:
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Phase 1: Relief Care
If you are in pain when you come into our office, our first objective is to help you reduce pain and start feeling better as soon as possible. Depending on the severity of the underlying condition which is causing your pain, it is typical for a patient to need chiropractic care or adjustments 2-3 times per week for 4-12 weeks.
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Phase 2: Corrective/Restorative Care
During the corrective phase of chiropractic care, muscles and other tissues are allowed to heal more completely, which helps prevent further injury or pain. The goal of corrective or restorative chiropractic care is to help bring your body back to 100% functioning. It is typical to need chiropractic care or adjustments about 4-8 times per month for 6-24 months, depending on your overall health and the severity of your problem.
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Phase 3: Wellness Care
Once your body has fully healed and you are no longer experiencing back pain or other pain symptoms, it is important to come in for periodic chiropractic adjustments to avoid further problems in the future. Usually, this phase of chiropractic care only requires a quick visit to the chiropractor 1-4 times per month, based on your lifestyle and goals.
Payment Options
Most insurance companies will cover chiropractic care, however each insurance plan is different. You may have a co-pay, co-insurance, and/or a deductible. If you require a referral for chiropractic care, you will need that prior to your first visit. To find out if your insurance covers chiropractic please call our office and we will gladly verify your benefits.
If you are here being seen as part of a worker comp or auto accident injury, you are not required to pay a co-pay.
If you are not using insurance/paying at the time of service, then you may be eligible for a discount on chiropractic services. Payment is required at the time of your visit. For any other information, please contact our office at (503) 486-5199.
Insurance companies accepted (but not limited to):
Auto Insurance/Accident Claims (Geico, Progressive, State Farm, Farmers, etc.)
Workers’ Compensation Claims
American Specialty Health Network (ASHN)
Regence
Blue Cross Blue Shield
Lifewise
HealthNet
Cigna
Kaiser (Complimentary Health Plan)
Aetna
Med-Advantage
Providence Health Plans
Mega Life
Pacific Source
Optum Health Care Solutions
United Healthcare
GE Wellness Plan – eligible for 20% discount
Health Allies/United Allies – eligible for 20% discount
Medical Resource – eligible for 20% discount
Pacific Care
Secure Horizons
Great-West Healthcare
ASIX HealthCare
HealthCare Direct
Multiplan
PHCS
Corvel
First Choice