an organization “for doctors by doctors”.

Welcome………
To the “Oregon Chiropractic Association” an organization
“for doctors by doctors”.
The Oregon Chiropractic Association was formed at the end of 2008, combining 2 previous state
associations for chiropractic into a single unified voice. The first meeting of the new Executive Board
was held November 20, 2008. The association was launched January 1, 2009 with approximately 250
members. Going into 2011, the association is now over 450 strong.
We welcome you and thank you for joining us. The Oregon Chiropractic Association is here for you.
We will continue to strive to work together toward common goals for the betterment of Chiropractic
in Oregon and for our member’s right to practice chiropractic in Oregon.
The Oregon Chiropractic Association Executive Board, Office Staff, and Consultants:
Co-Presidents:
Donald Ferrante, DC
David Duemling, DC
Secretary:
Michael Miller, DC
Treasurer:
Jennifer Pitcairn, DC
Officers:
Steve DeShaw, DC
Ann Durrant, DC
Cheryl Gross, DC
Ed Hacmac, DC
Kevin Holzapfel, DC
Jason Kehr, DC
Peter Lind, DC
Dan Miller, DC
Robert Ramsey, DC
Brian Stearns, DC
Executive Director:
Jan Ferrante
Administrative Assistant / Membership Outreach:
Kira C. Richards
Government Relations / Lobbyists:
Elizabeth Mazzara
Vern Saboe, DC
10570 SE Washington Street, Suite 202 Portland, OR 97216
Phone: (503) 256.1601
Fax: (503) 256.1602
Web site: www.ocanow.com Email: [email protected]
Revised: 01.05.11
Mission
The Oregon Chiropractic Association is an organization for doctors by doctors. We are dedicated to the service
of our members, our profession and enhancement of the quality of life for our patients. We are committed to
the education of our members, our patients, other healthcare professional and the public at large.
Purpose
We honor the diversity and heritage that is Chiropractic and will strive to promote unity without uniformity
within our profession. The Oregon Chiropractic Association will support each member and protect their
practice rights, as well as our profession’s regional autonomy.
Philosophy
We embrace Chiropractic as a unique healthcare discipline that leads the field of health and wellness, one that
focuses on the restoration of health by promoting the innate recuperative powers of the human body, without
the use of drugs or surgery. We believe that Chiropractic should maintain its unique identity while working
cooperatively with other healthcare disciplines.
Vision
Free from discrimination or interference, the Oregon Chiropractic Association supports the basic right of a
patient to select the type of care AND the healthcare provider of their choice. We believe that all patients
should have direct access to Chiropractic care. We ultimately see Chiropractic as the logical first resource for
health.
10570 SE Washington Street, Suite 202 Portland, OR 97216
Phone: (503) 256.1601
Fax: (503) 256.1602
Web site: www.ocanow.com Email: [email protected]
Revised: 01.05.11
MEMBERSHIP MEANS YOU BELONG TO A SPECIAL GROUP OF
CHIROPRACTORS...
It means that you can be part of this historic unity of your profession.
It means that you can step up and support Chiropractic in Oregon.
It means that you want to take an active role in your chosen profession.
It means that together we can be stronger than ever and move forward into the next decade!!!
MEMBERSHIP MEANS you have many benefits including:
Representation on a legislative level with focus on Healthcare Reform, Workers Compensation, and
Personal Injury Law
A Vote in the Elections of your Board of Directors
Technical Assistance from your Association Staff on issues including:
* Billing / Coding
* Systems *Forms *Marketing *Practice Management
* Daily Office Procedures
* Office Policies
*By-laws
* and much more
Annual Updates on Workers Compensation Fee Schedule (Affects WC and Auto Injury claims)
Annual Updates on Medicare Fee Schedule
Discounts on Continuing Education Material and Lectures
o Including FREE Shipping
Discounts on Your Annual State Convention
o with featured speakers such as James Chestnut, DC; John Demartini, DC; Fredrick Carrick, DC
PhD; Dan Murphy, DC; Reggie Gold, DC; and many more
Member Only Bi-Monthly Newsletters, bringing you up-to-date on Chiropractic in Oregon, Current
Events, & the Oregon Chiropractic Association office
FREE Member-Only Library with Practice Building & Marketing Material
Listing on our Brand New Association Web Site “Find a Chiro” map
Patient Referral Opportunities (does not include inactive members) directing in-coming calls from
patients looking for a Chiropractor in their area, from our Statewide Phone Book and YellowPages
listings
10570 SE Washington Street, Suite 202 Portland, OR 97216
Phone: (503) 256.1601
Fax: (503) 256.1602
Web site: www.ocanow.com Email: [email protected]
Revised: 01.05.11
Disability Insurance Discounts with Standard Insurance
Credit Union privileges for Oregonians Credit Union
o
Locations in Beaverton, Downtown Portland, Eugene, Gresham, Milwaukie, NE Portland,
Oregon City, and Prineville
Opportunities to participate in special events including District Receptions, special seminar
opportunities and “Chiropractic Day at the Capital”
Opportunity to serve on Councils that will help to direct those areas, in the profession of importance to
you and your Practice.
Benefits from the Congress of Chiropractic State Associations (COCSA) for affiliated State Association
Members
Platinum Member Benefits:
A link to your own web site or page that we can build with your clinic information
Invitation to the “Hospitality Suite” on Convention weekend
o VIP’s, Platinum Members, and Speakers are invited for food & drinks
Listing On Our 2011 Platinum Member Sheet, Sent out to ALL New Members & Affiliates
10570 SE Washington Street, Suite 202 Portland, OR 97216
Phone: (503) 256.1601
Fax: (503) 256.1602
Web site: www.ocanow.com Email: [email protected]
Revised: 01.05.11
2011 Affiliates & Platinum Members
Diamond Affiliate
Gatti, Gatti, Maier, Sayer, Thayer, Smith & Associates
(503) 363-3443
Platinum Affiliates
Epic Imaging – (503) 253-1105
Scott Supperstein, Attorney – (503) 227-6464
Mt. Scott Imaging, Bridgeport MRI, Mt.View MRI/CT - (503) 774-7700
NCMIC Insurance Company– (800) 769.2000 ext 3120
Gold Affiliate
Standard Process NW – (800) 292-6699
Take Shape for Life – Michael Patrick & Sue Piazza - (503) 481-0900
Nordic Naturals (Emilia) – (800) 662.2544 Ext 156
Health Breakthroughs International – David Wheeler, DC (503) 526.9130
CPSN, Inc.– Chiropractic Physician service Network – Suzanne Lady, DC (503) 526.9130
Pulse Health (Revelar) – David Urman – (503) 937.0020
Silver Affiliate
Tropiceel Products Inc – Merrilyn Jovin – 541.680.7856
Bronze Affiliates
Len Sussman & Associates – (360) 907-5845
Nutri West Pacific – (253) 857-2496
AMA Electronic Medical Billing – Anita Wells (503) 693-8107
Bowen Inc. - Jim Bowen (406) 370-9900
Kuether Brain & Spine - Todd Kuether, MD – (503) 885-8845
10570 SE Washington Street, Suite 202 Portland, OR 97216
Phone: (503) 256.1601
Fax: (503) 256.1602
Web site: www.ocanow.com Email: [email protected]
Revised: 01.05.11
Oregon Chiropractic Association: Application for Membership
I hereby apply for a membership in the “Oregon Chiropractic Association” (OCA), a professional association. I understand that this association is a membership based
association with dues associated with that membership. I understand that my application is subject to approval and that I will be notified of my acceptance within
30 days. I further understand that upon my acceptance, I will have dues billed as marked below and that membership requires the dues to be paid in a timely manner
in order to keep my membership in good standing. I agree that if I should decide to resign, I will do so in writing with 30 days notice to the OCA and that
resignation will be sent certified mail to the OCA office (shown below or as is current at that time). I agree that any dues through that date remain my responsibility
through the month of the receipt of my resignation by the OCA and will be paid.
Please Mail or Fax Back to: 105070 SE Washington Street, STE: 202, Portland, OR 97216/ Fax: (503) 256.1602
I have enclosed the appropriate monthly, quarterly, or annual dues payment or given my credit card number (below) for processing. Monthly billing will only be
processed with credit card being furnished (for automatic processing each month) and quarterly or annual dues may choose either automatic credit card or payments
by mail.
Membership Dues ( Please indicate your member & billing choices)
______ Platinum Member
_____ $ 83.50 monthly auto cc only
_____ $250.00 quarterly ____auto cc
Dues
$ pd/ $ chg amount
$1000/yr
$_________
_____ $1000.00 annually ____ auto cc
______ Full Member (6 or more years in practice)
_____ $ 67.00 monthly auto cc only _____ $200.00 quarterly ____ auto cc
$800/yr
$_________
_____ $800.00 annually ____auto cc
______ Member (5 years in practice & Senior Active)
_____ $35.00 monthly auto cc only
_____ $100.00 quarterly ____ auto cc
$400/yr
$_________
_____ $400.00 annually ____auto cc
______ Inactive (Retired DC’s only)
New Practice Members (Graduated fees)
_____ Year 2
_____$100 annually or
_____ Year 3
_____$200 annually or
_____ Year 4
_____$300 annually or
$100/yr
_____ $25 quarterly
_____ $50 quarterly
_____ $75 quarterly
st
______Membership (New DC = 1 year in practice)
______Student Membership
$_________
Licensure year ________
Licensure year ________
Licensure year ________
Fee waived
Fee waived
Licensure year ________
Name: ____________________________________________________ Clinic Name: ________________________________________________
Clinic Address: __________________________________________________ City: _______________________ Zip code: __________________
Office phone #:_____________________________ Fax #:_____________________________ Other # (Required): _______________________
Home Address: _________________________________________________________________________________________________________
E-Mail: ______________________________________________________ Would you prefer to receive your newsletter electronically? Yes No
Chiropractic College: __________________________________________ Year of Graduation: ___________Oregon Lic#: ___________________
Recommended by: _____________________________________________________________________________________________________
Payment: _____Check Enclosed
_____Visa _____MC _____ AmEx
(please be sure to check above if you wish to be set-up for auto CC. You will be mailed a receipt after processing – monthly or quarterly, done on the 5th of the month)
Card #: _____________ - _______________ - _______________ - ____________ Exp: ______________ Code (on back of card): ______________
Name on CC: _____________________________________________________________________ Billing Zip code: _________________________
I agree the “OCA” can bill my credit card for these membership dues. I have read the above membership info and agree.
Signature of Applicant: _______________________________________________________________________Date: ________________________
10570 SE Washington Street, Suite 202 Portland, OR 97216
Phone: (503) 256.1601
Fax: (503) 256.1602
Web site: www.ocanow.com Email: [email protected]
Revised: 01.05.11
Communication Forums
Web site
www.oregonchiroassoc.com
www.OCAnow.com
Facebook:
Natural News/ Health Education Posts
http://www.facebook.com/KiraRichards.OregonChiropracticAssociation Association Business Page
Oregon Chiropractic Association
Oregon Chiropractic Association Member Only List Serve
Email to [email protected]
10570 SE Washington Street, Suite 202 Portland, OR 97216
Phone: (503) 256.1601
Fax: (503) 256.1602
Web site: www.ocanow.com Email: [email protected]
Revised: 01.05.11