Frequently Asked Questions

We understand that arriving at the clinic for the first time can be nerve racking. Filling out paperwork, learning new faces and names, and getting to know your way around the centre can be an overwhelming experience. Our aim at Evolve Chiropractic and Wellbeing is to help you feel at ease and as relaxed as possible on your first visit by making the whole process as smooth and simple as possible.

Patient Forms – Upon entering our office, our receptionist will welcome you and request that you complete the relevant forms. This paperwork provides us with your contact details and any information that your provider requires prior to your consultation. Our receptionists are more than happy to email these forms to you so that you can complete them in the comfort of your own home ahead of time.

Consultation – Next, you will have a consultation with your practitioner to discuss your health-related problems, concerns, and potential treatment options. This initial visit is designed to learn more about you, your condition, and your expectations. It helps us determine how we can meet your goals.

Examination – After your consultation and with your consent, your practitioner will perform a complete examination. If you are seeing one of our chiropractors it is possible depending on your specific condition, you may need to be referred for X-rays.

Report of Findings – Once the information is collected and examinations are performed, your practitioner will give you a detailed report of all findings, discuss recommendations, notify you if your condition requires care with other providers and answer any questions you may have.

Treatment – If your condition is something we believe we can help you with than at the conclusion of the consultation, examination and report of findings, and after obtaining your written informed consent, you can choose to experience your first treatment.

Evolve Chiropractic and Wellbeing believes in the value of wellness care for you and your family. Our office offers a HICAPS facility for you to claim your chiropractic treatment, massage therapy, or acupuncture through your private health insurance provider on the spot. As a bonus, our chiropractors are all registered as preferred providers for several private health companies, and providers for the Department of Veteran’s Affairs.

Evolve Chiropractic and Wellbeing provides chiropractic treatment for motor vehicle accidents, and workers compensation cases. We also accept Medicare plans however only for subsequent visits, your initial visit will need to be paid for out of pocket.

Evolve Chiropractic and Wellbeing does not hold accounts, payment is required at the time of the treatment. We accept Cash/EFTPOS/Visa/Mastercard.

Our focus at Evolve Chiropractic and Wellbeing is to actively help you and your family in taking responsibility for your health, wellness, and disease management. We assist and guide you to take the time to care for the important people in your world: you and your family. To make your wellbeing as affordable as possible, we offer a concession to anyone holding a valid student card, concession card, or pension card. We also offer a wellness concession rate.

Low Level Laser Therapy aka Photobiomodulation is the use of laser/LED light to improve tissue repair, reduce pain and inflammation and promote tissue healing wherever the beam is applied.

How does it work?
The basic science: When cells are stressed, a compound called nitric oxide (NO) binds to the cell reducing adequate ATP (energy) production and increasing inflammation. When laser light (or LED’s) are applied to the skin the damaged cells in the injured or painful area (below the skins surface) absorb the light displacing NO from the cell. As that energy (ATP) is restored to the cell, oxidative stress is reduced. This puts the cells back on the path to healing the injured area more quickly.

In a nut shell: LLLT acts like a local anaesthetic which reduces the pain signals going to the brain. After several treatments, the nerves in the affected area become less irritable and pain lessens. By blocking the pain over a period of time muscles in the affected area become more relaxed and tissues heal. As your pain is reduced you can become more active and natural healing progresses.

What areas are treated?
Lymph nodes that drain the area of injury are treated to stimulate a reduction in inflammation and oedema. The area of injury is stimulated to increase local tissue repair. The nerves that innervate the injured area are inhibited to produce a local analgesic effect. Finally, tender areas around the site of pain are treated to inhibit muscle spasms and trigger points. These areas are found by examining the painful area during each treatment.

How long does a treatment take?
Total treatment time varies between 15 and 30 minutes and can be applied two or more times a week. Research has indicated that a dosage period longer than 20-30 minutes provides no additional benefit to the affected area. Of course, the dosage duration depends upon the size of the area to be treated eg. a lower back will take longer to treat than a wrist.

How often do I attend and for how many treatments?
Initially treatment is given 1-2 times a week for 2-3 weeks. This can vary depending on the severity and chronicity of the condition and the area needing treatment. The longer the pain has been present and the more severe the pain the more often treatment may need to be given. An average course of treatment usually runs between 6 and 8 treatments.

How quickly will I feel a benefit?
Generally, by the 4th treatment you will start to feel some benefit, though some
patients do feel better after the first treatment. Whilst every person’s condition is different (even in subtle ways) you will know within a few sessions if PBMT is going to benefit you. Avoiding known factors that can make the pain worse and resting the area will help speed up the treatment. The more quickly your pain improves the fewer the treatments needed and the greater the time between treatments.

Does laser therapy cause any pain?
LLLT is non-invasive and does not hurt, the light being emitted produces no heat and most patients report little to no sensation at all during treatment. The laser used in this technique is applied to the skin without any burning or cutting.

What happens during the treatment?
You will sit or lie comfortably during treatment. The laser machine will not make a sound when it is on but will make a “beep” every second that it is switched off at the probe.

Are there any side effects?
Most patients have no problems with the treatment. A small percentage of patients may feel tired, nauseated, or dizzy for a few hours following the treatment or may experience some worsening of pain for a day or so after the treatment. This usually passes without need for medication. Before and after each treatment we ask you to drink a glass of water as this will help minimise side effects.

In over 30 years of evidence-based research there have been no reported lasting side-effects from LLLT.

Do you have to do anything else during the course of treatment?
You will be asked to limit those activities which bring on your pain. These activities will be gradually resumed as your pain improves over the course of treatment. If possible, it is helpful to apply hot packs after the treatment for a minimum of 15 minutes. This can be repeated as often as you like. You can continue with other gentle therapies such as chiropractic, massage and exercises. These are considered complimentary processes to laser therapy and can speed up the healing process and reduce inflammation.

Assessment
You will need to come for an initial assessment to see if your condition is likely to respond the treatment. Not all painful conditions can be treated this way.

Do I need a referral for this treatment?
No, you do not need a referral from your GP for this treatment.

Can I let my GP know what is happening?
If you would like your general practitioner to know that you are having laser therapy, a letter will be written to her/him at the beginning of the course of treatment and she/he will be kept informed of your progress.

The paediatric population is a unique and varied population. It encompasses individuals from birth, through childhood, adolescence and into young adulthood. Brain development and skeletal maturation continues well into the third decade of life. In the context of health care, this requires an understanding of the significant anatomical, physiological and developmental changes that occur through all paediatric ages and stages, and the unique conditions that may only present in this population.

An Advanced Paediatric Chiropractor has completed a minimum of 2 years post registration training in paediatrics as well as passing practical and written examinations. Ongoing annual education requirements need to be met to ensure they are up to date in their paediatric clinical knowledge.

Advanced Paediatric Chiropractors mainly see infants and children, increasing their experience, skills and knowledge to assist obtaining the best outcomes for your children. APCs work closely with other health care professionals interested in infants and children

Evolve Chiropractic and Wellbeing Pty Ltd Child Safe Policy

  1. Purpose
  2. Context
  3. Commitment to Child Safety
  4. Scope
  5. Children’s Participation
  6. Recruitment
  7. Code Of Conduct
  8. Supervision, Training and Support for Employees and Volunteers
  9. Reporting and Responding to Suspected Child is at Risk of Harm
  10. Evolve Chiropractic and Wellbeing Reporting and Response Procedure
  11. Risk Management
  12. Communication
  13. Policy Review

Purpose

This policy was written to demonstrate the strong commitment that Evolve Chiropractic and Wellbeing Pty Ltd has to the safety of children and young people. To outline how we establish and maintain a child safe and child friendly environment and the roles and responsibilities of those involved in the organisation in doing so.

Context

This policy reflects our commitment to provide a safe environment where every person has the right to be treated with respect and is safe and protected from harm.

It is compliant with the following legislation, external policies, and national standards:

  • The Children and Young People (Safety) Act 2017 including:

Section 8.1B– Child safe environments and

Section 8.1B- Sec. 5.1. – Mandatory reporting.

  • Child Safety (Prohibited Persons) Act 2016
  • Child Safe Organisations National Principles 1-10
  • AHPRA’s code of conduct

Section 3.7- Child Conduct

  • Massage and Myotherapy Code of Conduct

Section 12.E – Mandatory Reporting

Commitment to child safety 

All children who come to Evolve Chiropractic and Wellbeing Pty Ltd have a right to feel and be safe. In accordance with the child safe environments provisions of the Children and Young People (Safety) Act 2017, the welfare of children and young people accessing our services will always be our priority.  We aim to create a safe and friendly environment where all children are valued, respected, and feel safe and heard.

Scope

Our Child Safe Policy from the date of endorsement applies to all staff, employees, volunteers, practitioners, contractors, children, parents, carers, and other individuals involved in the organisation. All persons hired by or volunteering at our organisation are required to read and sign a copy of this policy upon induction and are expected to act in accordance.

Children and young people’s participation

Evolve Chiropractic and Wellbeing Pty Ltd strives to create a child safe culture by making sure where possible, children and young people are involved. In the process of making our child safe policy, children were asked for their input on how they would like to be greeted at our practise, what ways they would prefer to provide feedback, and how we could make them feel involved.

In clear age-appropriate language we explain to children and young people their right to be safe and listened to. We encourage open dialogue by addressing both the child and career when greeting and organising appointments. We involve children and young people in decision-making as appropriate. We provide clear age-appropriate explanations to children and young people regarding their treatment and answer any questions they may have. Children are encouraged to let us know at any time if they do not feel comfortable. We listen to and act upon any concerns that children, young people, or their families raise with us. Patients can provide feedback and complaints via email, verbally and on progress review forms where they are asked to provide any constructive criticism and/or feedback.

Recruitment

Evolve Chiropractic and Wellbeing Pty Ltd takes all reasonable steps to ensure that we engage the most suitable and appropriate people to work with children.   We employ a range of screening measures and apply best practice standards in the screening and recruitment of employees and volunteers.

We interview and conduct referee checks on all employees.  We conduct National Police Checks and working with children checks for all employees, as set out in Child Safety (Prohibited Persons) Act 2016. Each applicant is expected to obtain a National Police Check, and have a valid, not prohibited, working with children clearance upon request.

We are registered with the Department of Human Services Screening Unit so that our organisation can lodge government checks on behalf of employees. We require employees to renew all checks every three years to ensure continued suitability post recruitment.

If we become aware that a person involved at our organisation has acted in a way that may affect their clearances with the Department of Human Services Screening Unit, we will notify the Department immediately. This includes but is not limited to committing any serious criminal offence, putting a child in risk of harm or if any disciplinary action is taken due to misconduct.

Code of Conduct 

All employees and volunteers are made aware of, and must abide by, our code of conduct.  Our code of conduct was developed in collaboration with all our employees and each employee and volunteer must read and sign a copy upon initiation.

In the case of a Code of Conduct breach any persons aware of the breach (staff, volunteers, patients or otherwise) are encouraged to report either verbally or in writing to the Business owner and manager or to a person authorised by them. The report may be made anonymously and should provide full details of the alleged breach to the extent known by the reporter.

Evolve Chiropractic and Wellbeing Pty Ltd has in place a 2-stage process of handling suspected breaches of the code of conduct. The first stage is determining whether, on the balance of probabilities, a breach of the Code of Conduct has occurred; and the second is deciding what, if any, sanction(s) is appropriate based on its own merit. Please refer to our discipline and termination policy for further details.

Supervision, Training and Support for employees and volunteers

Evolve Chiropractic and Wellbeing Pty Ltd provides support and supervision, so both children and adults feel safe, respected, and fairly treated.  We request a child’s guardian or caregiver to supervise practitioners when in treatment rooms where applicable. If for any reason is not possible, we ensure treatment room doors are kept ajar.

In accordance with the ACA’s Child Safe Policy section 1;17 Members and Key staff are required to do a 7 hour Child Safe Environments course and an accredited 3 hour update every 3 Years. This includes contractors. Contractors must also adhere to their professional associations and regulating board’s requirements with respect to ongoing education.

We ensure that employees who work with children have ongoing support and training to promote the establishment and maintenance of a child safe environment. This is done by reviewing procedures affecting child safety, having an appointed child safety officer, and providing access to computer and internet resources regarding child safety and wellbeing. We encourage all staff to complete free Child Safe Working Modules online and have printed copies of The Child Safe Organisations National Principles booklet and The Commonwealth Child Safe Framework (second edition) for further reading.

Reporting and responding to harm or risk of harm

Evolve Chiropractic and Wellbeing Pty Ltd will ensure children and young people are kept safe from harm.  As under section 30 of the Child Safety Act 2017 any employee or volunteer of an organisation that provides health care to children is a mandated notifier. Therefore, all persons working at our clinic are responsible for reporting any reasonable concern that a child or young person has been harmed or is at risk of harm.

All employees and volunteers understand their obligation to notify the Child Abuse Report Line on 13 14 78 as soon as possible if they have a reasonable suspicion that a child has been or is at risk of harm or to call SA Police on 000 if at immediate risk.

We ensure that employees and volunteers are aware of how to make appropriate reports of harm and risk of harm and how to identify them. This is done through mandatory training programs and signed policy agreements.  We also provide avenues for employees and volunteers to further their understanding with online modules and that they have access to the Mandatory Notification Information Booklet.

Evolve Chiropractic and Wellbeing Reporting and Response Procedure

When a child or young person makes a direct disclosure or allegation the addressed employee will report the matter to the Child Abuse Report Line (or SA Police if immediate risk) and be guided by the Department for Child Protection, Child Protection Officers. The employee will always cooperate with investigative authorities. Following the making of a report to authorities, they will inform our organisation’s management of the report to allow for documentation.  The notifier will then collaborate with any persons deemed necessary to create a response management plan and appropriate support strategies for the affected parties. Part of which includes making sure the impacted parties are referred to professional support services.

In the case that a worker at Evolve Chiropractic and Wellbeing is the cause of harm or risk of harm, a report will be made to the Child Abuse Report Line (or SA Police if immediate risk) and be guided by the Department for Child Protection, Child Protection Officers. Then pending an investigation section 3.4 of our Discipline and Termination Policy will be followed. At this time a response management plan will be established to support the affected parties.

Risk Management Plan

Evolve Chiropractic and Wellbeing Pty Ltd is committed to the safety and wellbeing of all children and young people accessing our services.  We support the rights of the child and will act without hesitation to ensure a child safe environment is always maintained.  We support the rights and wellbeing of our staff and volunteers and encourage their active participation in building and maintaining a secure environment for all participants. This includes reporting any safety risks they find not included in this plan, so it can be addressed and updated.

Physical Risks to Children

Identified possible physical risk and corresponding actions

RiskAction
Power pointsChild safe protection installed
Toys, choking hazardNo sharp or small items which may be swallowed
Falls from waiting room chairsChildren monitored to ensure they are using chairs properly
Acupuncture and dry needling sharpsKept in a sharp’s safe container out of reach of children
Chiropractic and massage tables hazardsChildren will be monitored when in rooms with tables and power points to tables will be turned off as required
Clinic dogNot left unattended, restrained if required

Harassment/bullying

Evolve Chiropractic and Wellbeing Pty Ltd opposes all forms of harassment, discrimination, and bullying.  We take this issue seriously and encourage anyone who believes that they, or another person, has been harassed, discriminated against, or bullied to raise this issue with management. Our code of conduct and responding to complaints procedure are in place to minimize this risk and deal with any breaches promptly.

Employees

We understand that employees can pose possible risk to the safety of children and young people. To minimize this risk, we have our recruitment plan in place involving screening with referees, police check and working with children check where applicable.

Physical Contact with Children

To minimize the risk of inappropriate contact, our code of conduct refers to what appropriate contact is. Were possible always ensure another adult is present when conducting one on one treatment with a child or young person. If not possible the treatment room door is ajar.

Confidentiality

No information on children is shared at any time without the written permission of parent/guardian. Information on children is not disseminated and is kept secure, this includes any recorded allegation of abuse.

Toilet

There is no acceptable reason for an employee or volunteer of Evolve Chiropractic and Wellbeing to be in a toilet with a minor.

All the procedures put in place to minimize risk in our practise are outlined in our child safe policy and code of conduct. These are accessible to the public ensuring that together we can create a safe environment for everyone.

Reporting and responding to feedback and complaints

At Evolve Chiropractic and Wellbeing Pty Ltd we value client and staff feedback and ensure they are addressed promptly, sensitively, and fairly. Patients can provide feedback and complaints via email, verbally and on progress review forms. Progress reviews are given when medically required to adults and children, in the forms given they are encouraged to provide constructive criticism and feedback.

When feedback or complaints are made a written record is taken and a record is also kept of the proceeding/actions that follow.  Immediately following the complaint lodgement, a response will be sent via email to the lodging party. The email will confirm the complaint has been received, is being reviewed and that they will receive and email promptly with how the issue is being addressed.

Evolve Chiropractic and Wellbeing has 2 separate procedures for dealing with feedback and complaints depending on their nature.

  • If the nature of the complaint is an employees alleged misconduct section 2 of our Discipline and Termination policy will be followed.
  • If the complaint regards a physical risk, our risk management plan will be consulted. If the said risk is unaccounted for, our plan will be updated accordingly.

We have these policies in place to ensure procedural fairness is always ensured. Upon completion of complaint review and consultation of the appropriate policy procedure, the lodging party will be notified of actions taken.

Communication

Evolve Chiropractic and Wellbeing Pty Ltd will ensure that everyone involved with our practice has access to our child safe policy and code of conduct.

We provide access to our policies electronically via our website https://www.evolvechiroadelaide.com.au/ or upon request in our office. Furthermore, any person working or volunteering at our practise is required to read and sign copies upon arrival and anytime these documents are updated.

Policy Review

Evolve Chiropractic and Wellbeing places the upmost importance on remaining up to date with all our policies and procedures. Our policies and procedures are reviewed annually or when prompted by our associations to ensure they are compliant with current legislation. This keeps us up to code with the Children and Young People (safety) Act (s.115) in which it is stated that all policies must be reviewed and updated once every 5 years. Upon the renewal for said policies a new compliance statement will also be lodged with the Department of Human Services. Our policy has been lodged on the 27/1/2022 and will be due under the Children and Young People (safety) Act (s.115) to be reviewed and updated on 27/1/23.

References 

Government Publications Reporting child abuse and neglect

Information for service providers

https://aifs.gov.au/cfca/publications/cfca-resource-sheet/reporting-child-abuse-and-neglect

The good practice guide to Child Aware Approaches: Keeping children safe and well

https://aifs.gov.au/cfca/sites/default/files/publication-documents/cfca21.pdf

AHPRA Standards and Codes https://www.ahpra.gov.au/Registration/Registration-Standards/codes-guidelines.aspx

Massage and Myotherapy Code of Conduct https://www.massagemyotherapy.com.au/Tenant/C0000012/00000003/PDF/Polices%20and%20Procedures/Association%20Code%20of%20Ethics%20-%20July%202018.pdf

Safe Place Training (Child Reporting and Practices)

https://www.safeplacetraining.com/cse.php

Plink SA

https://www.plink.sa.edu.au/pages/new-internal-dashboard.jsf?menuId=11111338&locale=en-GB&showbundlekeys=false#/?dashboardId=1734080

Child Safe Working Modules Free

https://childsafe.humanrights.gov.au/learning-hub/e-learning-modules

https://www.childwise.org.au/page/72/child-safety-training

Child Safe Organisations: Introductory Self-Assessment tool

https://childsafe.humanrights.gov.au/sites/default/files/inline-files/CSO%20Introductory%20self-assessment%20tool%20for%20organisations_Aug2019.pdf

Commonwealth Child Safe Framework (Second Edition) – Copy in folder

https://childsafety.pmc.gov.au/sites/default/files/2020-12/commonwealth-child-safe-framework-2nd-edition.pdf

United Nations Childs Rights
OHCHR | Convention on the Rights of the Child

Practical tools for implementing the National Principles
https://childsafe.humanrights.gov.au/tools-resources/practical-tools

Child safe organisations: Information for organisations on how to keep children safe

https://aifs.gov.au/cfca/2019/11/06/child-safe-organisations-information-organisations-how-keep-children-safe

National Principles for child safe organisations

https://dhs.sa.gov.au/services/community-and-family-services/child-safe-environments/national-principles-for-child-safe-organisations

Complaints Procedure template

Effective handling of complaints made to your organisation (ombudsman.wa.gov.au)