Is a referral required?

No, a patient does not need referral by an MD before visiting a doctor of chiropractic. Chiropractors are first contact physicians, and are so defined in federal and state regulations. Following a consultation and examination, the doctor of chiropractic will arrive at a diagnosis under chiropractic care, or refer the patient to the appropriate health care provider.

Dr. Bottesch does not believe that Chiropractic Care is the cure all for every disease process. He is a firm believer that a trial of conservative care should be undertaken before considering more serious forms of treatment, i.e. surgery. Your condition will be closely monitored while you are under Dr. Bottesch's care and if you are not responding significantly to conservative care, he will refer you to the appropriate specialist for other forms of treatment.