Our Practice

It is the policy of this office to provide wellness-based health care to the community using a Sacro-Occipital Technique (SOT) construct to analyze and categorize a subluxation complex. Because of this unique practice style, it is difficult to provide traditional CPT coding to describe the many evaluative and treatment based services provided in a typical office visit. A routine (non-new patient) office visit in this office might contain one or more of the following:

  • Nutritional counseling
  • Soft tissue mobilization that may include Instrument Assisted techniques, such as Graston
  • SOT and other chiropractic spinal techniques
  • Acupressure
  • Standard evaluation and management professional services

It is also the policy of this office never to directly bill third-party payers on behalf of patients. Our patients are notified of and agree to this policy before beginning treatment protocols here. We do provide standard receipts that outline the service rendered for the patient’s needs. 

Due to the non-traditional aspect of the treatment provided here, we have elected to describe the services rendered using time-based evaluation and management (E/M) coding. We strive to meet the standard of E/M coding guidelines but declare that we utilize the time component to code the service.  We have also elected to bundle all treatment that is delivered during a standard, established patient visit, into the cost of the office visit below. We do not additionally itemize the treatment for billing purposes, but the patient’s health record reflects all services rendered along with the time spent.

New Patients: What to expect on your first two visits

Patient Forms

We request that you complete our patient forms when entering as a New Patient.  This paperwork provides us with your health history and information on your condition/s.  Please allow yourself about 20 minutes prior to your appointment time to fill out the paperwork, and allow yourself a two hour block of time for your initial visit as a new patient.


After your consultation, Dr. Bourne will perform a chiropractic examination which is a rather detailed orthopedic neurological exam along with a reflex analysis related to your system functions.  Together, these indicators and the examination results help Dr. Bourne formulate a customized Chiropractic / Nutritional solution for you.  

X-Ray Viewing

X-Rays are not performed in the office.  X-rays can help us develop a treatment plan for you.  Bring your current spinal X-Rays / MRI films or reports to the office at the time of your exam.  Dr. Bourne will go over them with you and even help explain any confusing radiology terms as well as use the data to properly manage your case.  

Report of Findings  (Visit #2)

Once the information is collected and examinations are performed, Dr. Bourne will give you a detailed report of all findings, usually in the form of a follow-up appointment, and answer any questions including:

  1. Can you help me?
  2. How long will it take?
  3. What do I have to do?
  4. What will my treatment cost?

After reviewing your health history, goals, and examining your spine and X-rays (if applicable), Dr. Bourne will discuss recommendations and notify you if your condition requires care with other providers, and will provide the best treatment and wellness program for your needs.


Spinal Adjustments, MyoFascial Release / Acupressure and Nutritional protocol.