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COVID-19 Updates

Doctors of Chiropractic Declared Exempt from Hawaii Stay at Home Order - March  23,  2020

The State Dept. of Health and Lt. Gov. Office has contacted Dr. Lawrence Redmond, the Chair of the Board of Chiropractic Examiners (your licensing entity) and through discussion and consultation has placed the Doctors of Chiropractic as exempted from the stay at home order, as Essential Health Care Professionals.

This means that you may continue to treat patients and move around outside of home as necessary!

One specific request….Please carry you current State of Hawaii Chiropractic License on your person at all times out of your residence.

Authorities may be doing spot checks and random stops in the future. If you do not have your pocket license on your person, you may be subject to fine and or other action.

If you lost your copy, you may download a copy from the DCCA, PVL: http://www.hawaii.gov/dcca/areas/pvl

Scroll down to the Professional and Vocational Licensing. This will give you a place to print out your card.

Moving forward: Regarding the Social Distancing order: Please minimize your patient contact to those with serious and acute conditions.

Please postpone maintenance and routine follow ups for future dates.

Any questions, please call the HSCA office at (808) 926-8883

Stay safe and “Wash your hands”!


Call your U. S. Senators now to ensure relief for providers, including chiropractors.

Background: Senators Michael Bennet (D-Colo.) and John Barrasso (R-Wyo.) have introduced the Immediate Relief for Rural Facilities and Providers Act, new legislation to address the impending crisis facing our health care system as the spread of COVID-19 increasingly strains hospitals and providers across the country. Bennet and Barrasso’s new legislation would extend a lifeline to rural hospitals, and all providers and the millions of Americans who depend on them for health care.

Among help for rural hospitals, the Bennet/Barrasso legislation will:

  • Provide Stabilization and Relief for all  Providers, including chiropractors with an  emergency, one-time grant for all providers and ambulatory surgery centers equal to their total payroll from January 1 - April 1, 2019.
  • Provide Funding for all  Physicians and Providers, including chiropractors by authorizing the Small Business Administration to provide low interest loans to providers and ambulatory surgery centers at a 0.25% interest rate that will not accrue until two years after the COVID-19 pandemic has ended.

What you need to do:Call the senate switchboard at 202-224-3121 or find your state Senators’ office here and ask them “to include the Immediate Relief for Rural Facilities and Providers Act, sponsored by Senators Bennet and Barrasso, in the current Senate COVID-19 relief package.”


Chiropractic Practice in Hawaii during the COVID-19 Pandemic - March 23, 2020

The Hawaii State Chiropractic Association is the formal representation of Chiropractic in Hawaii. As such, we are doing what we can to look at as many sources of information related to the COVID-19 virus as we can. We would like to be one of the more credible sources of advice regarding your practice, patients and your personal safety as possible.

Click HERE to read our letter regarding the City & County of Honolulu Emergency Order No. 2020-02 (Stay at Home/Work from Home Order) and how  it relates to chiropractic care.

Please know that as a clinician, good citizen, neighbor and businessman, you must make decisions on how you conduct your day to day professional activities.Currently, from what we have been hearing, most of our colleagues are continuing to treat their patients, however patient appointments are reduced with fewer patient encounters. A few doctors have decided to temporarily close, with a wait and see attitude. Please, tell your staff or anyone doing appointment scheduling that ALL patients with respiratory, and cold or flu-like symptoms should be told to STAY HOME!

Doctors are taking extra measures regarding sanitation and cleanliness before and after each patient encounter. All touch surfaces/equipment in the clinical area are wiped with a germicidal agent. If you use adjusting tools like an activator or percussor, don’t forget the tips and contact surfaces. Wash your hands and/or use hand sanitizer after each patient.

It may be difficult to get these products at this time due to high demand. Please know, that a simple soap and water solution works for your hands and touch surfaces. Make sure you thoroughly dry the surfaces once cleaned. We suggest using paper toweling for this process, as it is disposable. This may be in short supply as well, so if cloth toweling is used, please do not reuse the same towel over and over again.

We have been told that simple clothes washing as per usual is sufficient to protect clothing and such toweling, as the standard detergents in automatic clothes washers have shown to be sufficient.

Social Distancing is considered the standard when more than one person is in a room. You must consider your practice style, and facility. Patients should not be sequestered closely together in reception or treatment rooms. If your clinical space has individual, enclosed treatment rooms, this is the ideal situation.

Several ideas have emerged regarding Social Distancing:

  1. You may space out appointments so patient encounters are completely separate, with little chance of overlap. Some practices are quizzing every patient on their state of health and potential exposure (e.g.:recent travel, recent large gathering attendance, etc.)
  2. If you have a large enough reception area, you can remove some of the seating and space it at least the recommended 6-foot separation.
  3. If you practice in a ground floor facility, you may have your patients check in with your front desk, and then wait their turn in their car or outside until you call them in on their mobile phone.
  4. Although not as convenient, in a multistory office building, they may wait in a hallway, lobby or in their vehicle until you call them in on their mobile phone. Allow for extra time in your scheduling.

Liability concerns can be minimized by first of all adhering to all directives from the Federal, State and County authorities that hold jurisdiction over your practice/business.

Make sure your patients know they have options regarding their safety, such as their social distancing concerns. This can be relayed to them when they call for an appointment, or you and your staff can proactively call them. You can put up signs/notices on your front door, in the reception and treatment areas and on your website.

Some of us have posted a formal notice on the landing page of our website describing the social distancing options in our office.

All your actions and precautions should be apparent to your patient. So, if they choose to make an appointment to see you, and are later treated, they have consciously chosen to risk this encounter with you.

Of course, you should not betray their trust, and follow through with the stated precautions and procedures that you have noted.

If you have further questions/concerns or suggestions, please contact us on the HSCA phone line. This is monitored by Dr. JOE Morelli, Monday thru Friday during normal business hours.

Phone: (808) 926-888     Fax: (808) 926-8884

Good luck and best of health in these trying times…..and wash your hands!

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