Office Policies

HIPPA: We are required by law to maintain the privacy of protected health information, and also provide individuals with a notice of our legal duties and privacy practices with respect to protected health information. 

IDENTITY THEFT: At your first appointment, we will ask to see your government issued picture ID.  This task is because of FTC Identity Theft regulations.

PAYMENT POLICY: Payment is due when services are rendered (except MVA claims).  Payment can be made with cash, check or credit/debit.  Make checks payable to: Judith Boothby MS DC PC

You are responsible for billing your medical insurance company.  It is your responsibility to check with your insurance company to determine chiropractic coverage.  After paying Dr. Boothby for her services, you can submit a copy of her insurance receipt (SuperBill) to your individual insurance provider.  The receipt contains the necessary diagnostic and treatment codes required by the insurance company to process the claim.

***If you need a receipt please ask for one at check-out***

MOTOR VEHICLE ACCIDENT BILLING: This office will bill insurance when you have been in a motor vehicle accident. 

CANCELLATIONS: *** 24 hour notice or $50.00 No Show Fee ***

You are required to provide us with 24-hour notice of cancellation.  If you do not cancel with at least 24- hour notice or just do not show up you will be charged a no show fee.  The fees are $50.00 for Drs appointments and $25.00 for exercise appointments.  If you consistently do not show up for appointments, Dr. Boothby will terminate treatment.



Third Way Chiropractic | 1620 SE Ankeny | Portland, OR 97214 | (503) 233-0943