Let us gather your insurance policy information via the electronic form below to verify your terms of coverage.

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If you hold a secondary policy, please complete the insurance webform twice with separate details from the primary and secondary policies. We can accept cash, check and charge at the time of service. We can also electronically invoice you, so you can pay from home at your convenience to save time during your visit.

We can easily help you following a motor vehicle crash, at no cost to you, with an open claim number and the contact information of your insurance adjuster. It is important to get checked if you have any type of symptom arising during or following the accident. Don’t hesitate to go to ER with concerns, and contact us to schedule as soon as possible.

We have a schedule of Standard Fees and we also extend Time-of-Service (TOS) discounts when payment is made at or prior to the actual visit. Your initial visit may be covered in full or in part, or you may have to reach a deductible before your policy starts paying. Discounts and value packages also come in handy when deductibles are large, allowed limits are small, maximums are met or benefits are unavailable, so make sure to inquire. When ineligible for reimbursement, the initial 90‐minute session runs $205 TOS, and subsequent 75‐minute visits are $165 TOS.

We are able to bill most private health plans which have chiropractic benefits. Our access to billing Medicaid is via Providence, but not Care Oregon, and may otherwise be limited. We do not participate in Medicare, but we can bill them to reimburse you. Dr. Kerr is an in-network provider for Regence BC/BS, Providence and Pacific Source. Moda, UHC and other companies can be billed out-of-network, but Kaiser cannot.

General Initial Visit Form
Noticy of Privacy Practices

Your Initial Visit

In your 90‐minute initial visit session, we review your history and your health goals, conduct a chiropractic physical exam and neurofunctional assessment, and deliver care tailored to our findings. Typically we include both an adjustment and customized assisted yoga activities. The information gathered here informs our care plan, which we formulate and put into action together. Once you have experienced a session, during your second visit we can see how your body responded and together formulate our most optimal course of action.  You are welcome to schedule your follow‐up visit when scheduling your initial.

To start your care as well‐oriented as possible, please give as much detail as is comfortable for you on your forms. Download, complete and sign the 6‐page initial visit form with the link to the right, then scan and email it to us prior to your visit.  Just FYI, when any PDF is downloaded, it opens up in your browser by default. This will not allow you to save it, but it should allow you to print it. If you open it up using a PDF editor, such as Acrobat, Preview, etc., it will both save and print just fine. To avoid technological challenges, we recommend downloading and printing the blank form to fill out by hand. Page 4 is not fillable on the pdf, so printing is necessary to complete this page. Also, signing requires printing, but if you submit your saved form with your name on the signature lines in a PDF editor, we can consider it an agreed legal signature when we receive it via email.

It’s preferable to review your information prior to your arrival, and our email uses an encryption service to protect your health information.  We are happy to email you the initial visit forms for you to print if you have trouble downloading them. Send us an email with your scanned completed form or to request a blank initial visit form as an email attachment. You can also bring the completed form with you to your visit if need be.

Insurance Information