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
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