Cascade chiropractic exam room in Portland Oregon

What to expect on your first visit

  • Alex and Charlotte (the corgi) or one of the doctors will personally give you a warm greeting

  • Your doctor will carefully listen to you and take a history of your concerns

  • He will perform a physical exam to find the cause of your problem

  • He may require x-rays before beginning treatment

  • Together you will review the findings and create a treatment plan

  • Treatment will be provided if nothing is contraindicated

  • Everything from start to finish will take about an hour

charlotte the corgi chiropractor dog

Charlotte, our office greeter

New Patient Forms

Fill the form online (includes basic, auto, work comp)

Online Form


Download and print the forms

intake form portland chiropractor

Basic Intake Form

intake form portland chiropractor

Auto Injury Form

The Journey to Wellness

Phase 1: Pain Relief

Many people make their first visit to a chiropractor because they are in pain. During phase 1, the main goal is to reduce your symptoms and help get you out of pain. Sometimes this will mean more frequent visits until you are out of pain. This will help get you out of the “acute phase” of your injury.

Most people are under the assumption: No pain = health. Unfortunately, pain is a very poor indicator of health. Pain is usually the last symptom to arrive when we are unhealthy.

For example, consider a cavity in your tooth. Does it hurt when it first develops or only after it has become serious? How about heart disease? Regardless of whether we are talking about cancer, heart disease, diabetes, stress or problems with the spine, pain is usually the last thing to appear. When you begin chiropractic care, pain is also the first symptom to disappear, even though much of the underlying condition remains.

Reversed curve neck x-ray chiropractor in portland
patient outcomes for portland chiropractor

An example of good outcomes when following treatment plans

poor patient outcomes

An example of poor outcomes when not following treatment plans

Phase 2: Corrective/Restorative Care

Getting patients out of pain is the easy part. Typically, the pain will be 80% or more improved within the first 6 visits.  If you stop treatment at this point, the chances of the pain recurring are much greater. Even though your pain is gone, the problem still remains. Until we correct that problem, the chance of your symptoms coming back is very likely.

During phase 2, your visits will be spaced out longer.  You will be given exercises and stretches to perform at home to help restore function and stability.

It is incredibly important to finish your treatment plan.  Read more about typical treatment plans here.

Phase 3: Wellness Care

Maintenance is Key to Healthy Living

Once your body has fully healed, routine chiropractic care can help ensure that your physical problems do not return. You can’t expect to visit the gym for a month and have results for life. In a similar way, it is important to continue chiropractic care to ensure the health of your musculoskeletal system.

Many years ago, dentists convinced everyone that the best time to go to the dentist is before your teeth hurt, that routine dental care will help your teeth remain healthy for a long time. The same is true of chiropractic care for your spine. It is important to remember that your spine experiences normal wear and tear as you walk, drive, sit, lift, sleep, and bend. Routine chiropractic care can help you feel better, move with more freedom, and stay healthier throughout your lifetime.

When you make routine chiropractic care a part of your lifestyle, you avoid many of the aches and pains that so many people suffer through, your joints will last longer and you will be able to engage in more of the activities you love.

Services Offered


We gladly accept most health insurance plans.

We are in-network with the following insurances:

  • Auto accident insurance (PIP)
  • Kaiser/CHP
  • Regence Blue Cross Blue Shield
  • Workers Comp insurance

We are out of network, but can submit claims for the following insurances:

  • Cigna
  • Moda/ODS
  • Pacific Source
  • Providence
  • United

Insurance & Chiropractic

If your insurance plan isn’t listed here, we can call and check benefits for you. Call us (503) 257-1324 and provide your name, birthday, and insurance information. Many insurance plans contain chiropractic care benefits.

Car Accidents & Personal Injury Protection (PIP)

If you were in a car accident in Oregon, you are eligible to receive at least $15,000 toward your health care costs. This is called personal injury protection (PIP). Motor vehicle accident insurance benefits can be used for numerous natural health care services, including chiropractic and massage therapy. You can open a medical claim by following these steps:

  • Call your auto insurance company (a claims adjuster will be assigned to your case and will help you open your medical claim)
  • Provide our clinic with the following information: the name of your insurance company, the name and phone number of your claims adjuster, and your medical claim number (which you get from your adjuster)

Workers Compensation

You may be eligible for worker’s compensation benefits if you are injured while you are at work. Worker’s compensation laws in Oregon state that, if you have successfully opened a worker’s compensation claim, you are entitled to 18 chiropractic visits or 60 days of care, provided your chiropractor is your “attending physician.” You are only allowed one attending physician on your initial claim, and you must switch to an attending physician who is an MD or DO after your 18 visits or 60 days of care. Your new attending physician can refer you for further chiropractic care if they deem it necessary. If you are currently seeking care from a non-chiropractic attending physician, you can change your attending physician to your chiropractor. Oregon worker’s compensation laws allow you the freedom to change your attending physician up to two times after your initial selection.

Payment at the Time of Service

Cascade Chiropractic & Wellness accepts payment by credit card, cash, and check at the time of service if you do not have health insurance that includes chiropractic benefits.

Frequently Asked Questions