Terms & Conditions
Nature of Services
Ozark Holistic Center’s services include chiropractic care, applied kinesiology, nutrition services, and treatments or procedures which may be provided by chiropractic physicians. Such services may include the prescription of an integrative program which includes nutritional therapies, functional medicine, and manual therapies. OHC’s services do not substitute for primary medical care, and patients are expected to have a relationship with a primary medical doctor separate and apart from CCFM while involved in care.
Risks, Benefits, and Alternatives of Treatment
In general, applied kinesiology, functional medicine, myofascial release, and chiropractic care provide benefits that include relief of presenting symptoms and improved function that may lead to prevention, improvement or elimination of the presenting symptoms, though no particular outcome can be warrantied or guaranteed. Like with any health treatment, such treatment is not without risk. Potential risks of treatment include allergic reactions, sensitivities, adverse effects from, or in response to, natural supplements or dietary measures, failure to improve or worsening of the patient’s condition and difficult adjustments to making lifestyle modifications. Other side effects and risks may occur.
Chiropractic adjustments are the moving of bones with the doctor’s hands or with the use of an instrument. Frequently adjustments create a “pop” or “click” sound/sensation in the area being treated.
Stroke: Stroke means that a portion of the brain or spinal cord does not receive enough oxygen from the bloodstream. The results can be temporary or permanent dysfunction of the brain, with a very rare complication of death. The literature is mixed or uncertain as to whether chiropractic adjustments are associated with stroke or not. The most recent evidence suggests that it is not (2008, 2015, 2016), although the same evidence suggests that the patient may be entering the chiropractic office for neck pain/headaches or other symptoms that may in fact be a spontaneous dissection of the vertebral artery. If we think this is happening, you will be immediately referred to emergency services.
Anecdotal stories suggest that chiropractic adjustments may be associated with strokes that arise from the vertebral artery; this is because the vertebral artery is actually found inside the neck vertebrae. The adjustment that is suggested to increase the strain on the vertebral artery is called the “extension-rotation-thrust atlas adjustment.” We do not do this type adjustment on patients. Other types of neck adjustments may also potentially be related to vertebral artery strokes, but no one is certain. It is estimated that the incidence of this type of stroke ranges between 1 per every 400,000-3,000,000 upper neck adjustments. This means that an average chiropractor would have to be in practice for hundreds of years before they would statistically be associated with a single patient stroke.
Two other potential problems that are not quantifiable because they are extremely rare and may have no association with chiropractic adjusting are carotid artery injury and spinal dural tear resulting in a leak of cerebrospinal fluid.
Certain conditions which remain untreated allows the formation of adhesions and reduces mobility which sets up a pain reaction further reducing mobility. Over time this process may complicate treatment making it more difficult and less effective the longer it is postponed. The probability that non-treatment will complicate a later rehabilitation is high.
Soreness: It is common for chiropractic adjustments, traction, myofascial release, massage therapy, exercise, etc. to result in a temporary increase in soreness in the region being treated. This is nearly always a temporary symptom that occurs while your body is undergoing therapeutic change. It is not dangerous, but please do tell your doctor about it.
The patient agrees to inform OHC clinical staff of all known factors which might affect treatment, including all medications, drugs, drug sensitivities and allergies, history of seizures, fits or fainting, presence of a pacemaker, bleeding disorder, use of anticoagulants, damaged heart valves or occluded vessels, immune deficiencies or other special risk of infection, as well as any other significant factors. The patient further agrees to inform OHC clinical staff of any disorder, or state of mind, that might affect the patient’s capacity to make informed health decisions, and should any such impairment exist, the patient will provide information regarding a surrogate decision maker.
An explanation of the risks, benefits and alternatives of any specific procedures or treatments, recommended or undertaken, will be provided to the patient at the time of such recommendation.
The patient agrees to bring to the attention of OHC clinical staff any lack of understanding of such risks, benefits and alternatives, and inquire of staff for further explanation until the patient has a full understanding before giving consent to any procedure or treatment.
The patient agrees to immediately inform OHC clinical staff of any adverse effect of treatment noted, including any unanticipated pain or other negative sensation, unpleasant cognitive conditions, anxiety, depression or other negative emotions or any unpleasant taste or smell associated with the consumption of supplements or herbs. The patient will immediately notify the OHC clinical staff in the event of pregnancy, as some treatments may be contraindicated in the event of pregnancy.
The undersigned patient agrees that he/she has read and understood the information contained in this Informed Consent, has inquired as to all aspects that were not understood, and consents to the care and treatment as outlined herein. In consideration of the services to be performed and products obtained, the undersigned patient agrees to be bound by the terms of this Informed Consent. Your signature under the procedures listed below constitutes your acknowledgment that: (1) you have read and agreed to the foregoing: (2) The procedure(s) and possible alternate means of therapy have been adequately explained to you by Dr. Quinn and that you have all of the information that you desire: (3) You authorize and consent to the performance of procedure(s) or specific test(s): (4) You consent to the performance of procedure(s) and test(s) in addition to or different from those specified below whether or not arising from presently unforeseen conditions which Dr. Quinn or assistants may consider necessary or advisable in the course of the procedure(s) specified below: (5) No guarantee of a cure has been promised to you.
Procedures May Include the Following: Manipulation, traction, exercise, heat, nutrition, orthopedic testing, neurologic testing, cold, deep muscle therapy, rehabilitation exercises, acupressure meridian therapy, body reflex stim.
Parent/Guardian Information As parent/guardian you will be responsible for supervising the follow up of care with regard to office care and any home instructions, and you will be responsible for payment of bills arising from care of the minor. Furthermore, you understand that I, Dr. Quinn, may use surrogate neurological muscle testing to further evaluate your child if they are unable to perform the muscle test procedure and I have answered all your questions and concerns regarding this procedure.
Cancellation/No Show/Refund Policy
If you cancel or reschedule at least 24 hours prior to your appointment, there is no charge. If you cancel or reschedule less than 24 hours prior to your appointment, or you miss your appointment without providing notice, you will be charged as follows:
First missed appointment: Cancellation fee equal to 50% of scheduled appointment cost.
Second and subsequent missed appointments: Cancellation fee equal to 100% of scheduled appointment cost.
You will be expected to pay the fee before we will schedule another appointment.
We understand that there are times when you must miss an appointment due to an emergency or something came up suddenly. Please let us know ASAP and we will work with you. We appreciate your understanding. Thank you.
Supplements: Unopened supplements are eligible for a full refund. We cannot issue a refund for supplements that have been opened.
Health Insurance Policy/Payment Policy
Ozark Holistic Center strongly recommends that all patients maintain health insurance coverage, but does not participate in insurance, health plans, or government payers, nor does it accept assignment from any other payer, including employers (except in cases of personal injury from auto accidents). The patient is responsible for all charges and fees incurred for treatment or services rendered, regardless of any insurance coverage. Insurance reimbursements vary significantly as to health care services, and OHC makes no representations as to what services may or may not be covered under any insurance or health plan, or by any government payer, such as Medicare or Medicaid. OHC will reasonably assist the patient, when feasible, with documentation for submission for possible reimbursement.
Payment is due when services are rendered. We do not send invoices to patients or insurance companies or coordinate with insurance companies on your behalf. We can, however, provide you with an itemized invoice, if you request it, so that you may work with your own insurance company for possible reimbursement.
Permission to Use Data
By agreeing, you give permission for us to share your case including the results on our website, office, or health event. Your identity and personal information will remain anonymous and confidential at all times. (However, if you would like to submit a testimonial with your name, that is up to you, but we always appreciate it.)