WHAT IS FNPC’S OVERALL APPROACH?

The emphasis of Fibromyalgia and Neuromuscular Pain Center of Oregon (FNPC) is on Integrative Medicine, which means combining the traditional cutting edge treatments with non-traditional proven methods to treat chronic pain. At FNPC we emphasize Functional Medicine. This is a very new and different approach to improving the chronic pain, and the associated symptoms such as depression, insomnia, and crippling fatigue. Instead of looking at, and treating health problems as isolated diseases, it treats individuals who may have bodily symptoms, imbalances and dysfunctions using scientifically grounded principles. 

Our Approach uses the FRESH M3EDICINE© protocol. This is a systematic methodology of assessing and treating complex conditions utilizing a fully integrative, multi-disciplinary approach that draws from several areas of medicine.

The FRESH M3EDICINE© acronym stands for: Food, Rehabilitation, Endocrine, Sleep, Hormones, Medications, Musculo-skeletal, Mitochondria/Methylation, Exercise, Detoxification, Inflammation, Counseling and Cognitive Behavioral Interventions, Immune/Infection, Nutrients, Environmental Stressors.

For a detailed description, see Our Philosophy.

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WHAT IS FNPC’S POSITION ON NARCOTICS AND MARIJUANA?

Our focus is on optimization with an emphasis on non-narcotic pain management. One of the key principles of pain management is to identify the appropriate medications for the individual. We look at dosing, timing, and combinations. We attempt to limit the burden of a poly-pharmacological approach. We do not primarily manage pain conditions with narcotics. 

We do understand that narcotics may be necessary as part of an overall treatment plan which will be evaluated on a case by case basis. Prescribing is dependent on participating in a multi-disciplinary approach to care as well as patient compliance. All prescribing requires a pain management agreement (contract) and periodic Urine Toxicology.

Typically, we do not endorse multiple narcotics or use of high dose short acting opioids. We also typically do not endorse opioid use in conjunction with medical marijuana. Marijuana may be recommended on a case by case basis.

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HOW DO I SCHEDULE A NEW PATIENT APPOINTMENT?

Click Here and complete the form. We will be in touch with you by phone within 48 business hours.

After we have confirmed your contact and insurance information over the telephone with you, we will email or postal mail our New Patient Package which must be completed and returned before we can schedule your appointment.

Because we are a Specialist Clinic, we require all patients to have an active relationship with a Primary Care provider.  Your Primary Care provider may be an MD (Medical Doctor), ND (Naturopathic Doctor), or NP (Nurse Practitioner)

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WHAT PROVIDER WILL MY APPOINTMENT BE WITH?

As a rule, new patients will generally have their first appointment with Dr. Chris Kleronomos.
We do have availability for patients to have their initial appointments with our Mental Health and Chiropractic Providers.  You must indicate your selection on your new patient package or you will be scheduled with Dr. Chris Kleronomos.

Click to Meet the Team

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WHAT HAPPENS AT MY INITIAL APPOINTMENT?

Your initial appointment is the foundation of our relationship.  You must arrive 30 minutes prior to your appointment time for intake, or your appointment may need to be rescheduled. We strive for a minimum of 60 minutes of time face to face at the initial visit.  At this time we will discuss options, diagnostics and our overall approach to your care.

Intake consists of completion of any outstanding new patient forms, scanning your insurance and identification cards, collection of fees due, a urinary toxicology analysis, a computerized psychological assessment, and meeting with our Medical Assistant to complete your medical background and medication list and completion of your pain contract (if required).

We do not prescribe or refill controlled substances at your initial appointment.

Note: NEW PATIENTS need to arrive at least 30 minutes early to appointments.  If a patient arrives after this time there is a possibility that they MIGHT NOT be seen.

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WHAT RECORDS DO I NEED TO PROVIDE YOU WITH FOR MY INITIAL APPOINTMENT?

Please bring a detailed medication list with the medication's name, dose, instructions and which provider is prescribing it.  Additionally, we need a list of all supplements and over-the-counter medications you are taking.  

Your New Patient package will contain a Release of Information form which must be completed for each of your Providers.  We will fax this request to your providers, who generally will provide the requested information in 1 to 2 weeks. You may update your information through the patient portal prior to your appointment. The more accurate your profile is the better we can serve you.

Upon review of your medical records, we may need your help in obtaining additional prior X-ray reports, CT scan reports, MRI reports, bone scan reports and any other testing reports which you may have had done in the past. We also need chart notes from your primary care provider and any specialists or surgeons you may have seen recently. WITHOUT THESE RECORDS, THE PAIN CENTER PROVIDER CANNOT FULLY EVALUATE YOUR CONDITION. Please do everything you can to get all of these records and bring them with you to your appointment.

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WHAT IS YOUR PATIENT FINANCIAL RESPONSIBILITY POLICY?

We are pleased to accept and bill your insurance, subject to verification of your coverage.  Please understand that your insurance plan is between you and your insurance company; therefore, FNPC will not become involved in any disputes you encounter with your coverage or become engaged in litigation with your insurance company. You are fully responsible for any amounts not paid by your insurance.

We accept Cash, Check, and most credit cards.  You will be charged a $36.00 fee for any payments returned by your financial institution for non-payment.

Non-Insured Patients:  We generally do not accept Patients without insurance coverage.  If we accept you as a Cash-Pay Patient, payment is due at the time of service unless previous payment arrangements are made. We reserve the right to terminate our relationship with you at any time, with or without cause, with 30 days written notice. 

Insured Patients:    All out of pocket expenses including co-payments, deductibles (both in-network and out-of-network) and/or co-insurance are due prior to the time of service.  It is your responsibility to provide us with your insurance information prior to receiving services.  Verification of benefits is not a guarantee of payment and you will be responsible for any services considered non-covered by your insurance.  If for any reason your insurance company does not cover services you received within (60) sixty days of the encounter date, the full amount billed will become your responsibility to pay immediately.  If your insurance company sends you a check for services rendered in our clinic, you are responsible for paying that amount immediately to us, and for providing us a copy the EOB (Explanation of Benefits) for the subject encounter.

Non-Covered Services: There may be services we provide that your insurance may not cover.  You will be responsible for these charges in full prior to the time of service unless previous payment arrangements are made. It is the patients’ responsibility to contact their insurance to learn if pre-authorizations are required prior to the appointment date, and inform our staff of its necessity.

Worker’s Compensation & Motor Vehicle Accidents:  We do not bill insurance for these types of visits.  Payment is due at time of service, and you will be presented with a bill for your use in being compensated by third parties.

Late Payment and Collection Fees:  As stated in your financial responsibility form, you agree to pay 3% monthly interest on all unpaid charges that are not paid within 60 days of the encounter date.  You agree to pay all reasonable Collection, Court and Attorney’s Fees we incur in the collection of your debt. 

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WHAT IS YOUR NO SHOW AND LATE APPOINTMENT CANCELLATION POLICY?

Our goal is to give excellent medical care to you and your family in a timely fashion. As we are a small office with long appointments, missed and No Shows have a significant impact, so please be aware that we have a No Show and Late Appointment Cancellation Policy for all Fibromyalgia and Neuromuscular Pain Center patients.

No Show or Cancellation:

·       Failure to provide notice or show up for an appointment will result in a fee. We do understand that sometimes extenuating circumstances occur, if this is the case please phone our office directly.

·       Please be courteous, and provide 72 hours notice for all NEW Patient cancelled appointments. This helps ensure that we can meet the needs of all of our patients who are waiting to get an appointment.

·       For ESTABLISHED patients we ask you contact us a full 24 hours prior to cancellation.  Please call us if you are running late so that we are able to accommodate others who need to be seen.

Late Appointments: We make every attempt to stay on schedule, in order to help us please be on time.

·       For ESTABLISHED patients, if you are late for your appointment by more than 9 minutes we may have to reschedule your appointment. It is a good practice to arrive to you appointment at least 10 minutes prior to complete paperwork or testing.

·       NEW PATIENTS need to arrive 30 minutes prior to your appointment to complete required items.  If a NEW patient arrives after this time there is a possibility that they might NOT be seen and rescheduled.  

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How do I obtain a prescription refill?

In order for us to best serve you, please have your pharmacist contact your medical provider to request a refill. Please call your pharmacy at least 48 business hours before you need a refill.

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How do I find out about my test results?

Your medical provider will discuss with you how test results will be shared. However, if you need assistance, call the department to leave a message for your provider. If you do not show up for you review appointment and have nothing scheduled, your interpreted results will be forwarded to your PCP of record.

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How do you respond to concerns or requests for information about patient care on Social Media and “ratings” websites sites?

Fibromyalgia and Neuromuscular Pain Center of Oregon, LLC is proud to have been providing comprehensive and compassionate care in the community since 2014 and takes treatment of its patients – and their privacy – seriously.  Because federal privacy laws govern patients’ protected health information, it is not the policy of Fibromyalgia and Neuromuscular Pain Center of Oregon, LLC to substantively respond to negative reviews on social media and “ratings” websites, even if they provide misleading, unfair or inaccurate information. We welcome all of our patients and their families to address any concerns or requests for information about their care with us directly as we strive to continue to provide individualized and excellent care in our community.

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