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The Virginia Voice Winter/January 2011

Message from the President

Dear Unified VCA Colleague:

The other day, while I was caring for the people who have entrusted

the health of their spines and nervous systems to chiropractic and me, I reflected on why we as chiropractors need to stop apologizing for what we do. Listening to my patients tell me how their lives have changed because they chose to become chiropractic patients made me smile. It was extremely heartwarming to hear how the grandmother is moving better than she has in decades; how the construction worker is back on the job a few short days after hurting his back; how the housewife whose debilitating headaches and numbness in her hands resolved by being adjusted. The stories go on and on. Yes, I know each of those stories are anecdotal and we need to increase our research efforts; but for each those individuals, the results are real. Sometimes we get caught up in all the negativity involved with the business and political end of chiropractic that we forget the positive effect we have on the people we serve. Alleviating pain and suffering and improving the quality of life of our patients are something to celebrate. The pleasure of helping those who have suffered for so long is truly remarkable. That feeling makes all the “stuff” we have to deal with politically, worthwhile, at least I hope. With that said, it is imperative that we as doctors remain vigilant in providing the appropriate documentation to show medical necessity for insurance reimbursement. We also must be careful to avoid promising “cures” for various diseases and/or disorders. Traditional

chiropractic teaches we do not treat any disease or disorder but by correcting subluxation, we remove the interference to the body’s innate ability to heal itself. After nearly 25 years in practice, it never ceases to amaze me as to the inherent power of the body to repair and maintain itself. We offer a true alternative to medical care and should be proud. When you touch your next patient and give them the best adjustment you possibly can, have a little faith in that patient’s body to heal and your ability to deliver the goods. I heard this quote many years ago, “He heals most, in who most have confidence.” Be confident in your abilities and Chiropractic. If you need help with confidence; I strongly urge you to attend the Unified VCA Spring Convention April 29th through May 1st. Dr. James Chestnut will lecture on the scientific constructs validating chiropractic care as part of a wellness lifestyle. Dr. Larry Plotnik will address common pain syndromes and nutritional interventions and Dr. Peggy Serron will teach advanced imaging pertaining to chiropractic practice. Whether you practice condition-, subluxation-, or wellness- based care -- or a combination of the three -- the Unified VCA is dedicated to supporting you in every aspect of practice. We need your help with your involvement and for you to help recruit members to the Unified VCA.

Chiropractically yours,

Brad N. Robinson, DC, FICAPresident

SPRING CONVENTIONApril 29-May 1

Dulles Airport Hilton, Herndon, VA

SEE PAGE 7Learn, Share, Have Fun

Why Omega-3 Fatty Acids May Not Always

Work

Scott D. Banks, DC, MS

Omega-3 fatty acids are commonly used to mitigate chronic inflammatory

symptoms. However, the response to such therapy is not always consistent. This is typically related to a few parameters of how the therapy is given. These include:• Dosage• EPA: DHA ratio• Concurrent use of other anti-

inflammatory therapy The first parameter that may govern the benefit of omega-3 fatty acid therapy is the dosage. New research looking at total intake and levels of the inflammatory marker, hsCRP suggests that significant lowering of the marker occurs best at dosages of about 3 grams/day. The typical dietary omega-3 intake is less than 0.5 grams/day suggesting that supplemental amounts of omega-3s would need to be at least 2.5 grams/day. While many fish oil capsules are 1 gram, this is the total oil content and they typically contain only 300-400 mgs of omega-3s. The therapeutic dose would therefore be 500-6000 grams of fish oil to produce optimum reduction of hsCRP. The supplemental dosage needed can be offset somewhat having patients also use a tablespoon of flaxseed daily which will supply 1 to 1.5 gms of omega-3 fatty acids. The second issue related to the effectiveness of omega-3 fatty acid supplements is the relative concentrations of EPA and DHA. Earlier studies have predominantly looked at outcomes using sources of omega-3s that are dominant in EPA. Some research has suggested that a broader range of positive physiologic effects may occur with DHA and that the use of sources richer in DHA may be advantageous. This understanding is not fully developed and will take additional research to clarify. The third factor that may be involved in the inconsistent response to omega-3 fatty acids is the concurrent use of COX inhibitors such as NSAIDs. The omega-3

Continued on page 3

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fatty acids derive their effect from the increase in resolvin expression. The

family of resolvins results in final inflammatory resolution but require the COX2 enzyme for production. Excessive suppression of COX2 reduces the expression of highly pro-inflammatory prostaglandins but does not allow tissue resolution which may correct the inflammatory signal.

DHA also leads to the production of a broader group of resolvins compared to EPA. This is another factor suggesting that sources with higher DHA content may be better for anti-inflammatory purposes. Discussion with patients about using high amounts of NSAIDs with omega-3s is important. While the suppression of the COX enzymes with NSAIDs provides symptomatic relief, it interferes with the resolution of the ongoing inflammatory process. This is the likely mechanism of the dystrophic or pro-degenerative effect of NSAIDs. As an alternative to NSAIDs, several herbs contain polyphenolic compounds that more mildly suppress the COX enzymes which reduces PGE2 production somewhat but allows resolving production. These herbs include boswellia serrata, ginger, turmeric, celery seed and others. The use of herbal polyphenolics that create only mild suppression of the COX pathways with omega-3s may result in slightly less early symptomatic suppression but better long-term symptomatic resolution and control. Appropriately considering these three factors will often enhance the consistency of outcomes with omega-3 fatty acid supplements.

References:1. Makhoul et al. ASSOCIATIONS OF VERY HIGH INTAKES OF

EICOSAPENTAENOIC AND DOCOSAHEXAENOIC ACIDS WITH BIOMARKERS OF CHRONIC DISEASE RISK AMONG YUP’IK ESKIMOS. Am. J. Clinical Nutrition, Mar 2010; 91: 777 – 785.

2. Mori et al. PURIFIED EICOSAPENTAENOIC AND DOCOSAHEXAENOIC ACIDS HAVE DIFFERENTIAL EFFECTS ON SERUM LIPIDS AND LIPOPROTEINS, LDL PARTICLE SIZE, GLUCOSE, AND INSULIN IN MILDLY HYPERLIPIDEMIC MEN. Am. J. Clinical Nutrition, 2000;71:1085-1094.

Continued from page 1

Workers Comp PresentationReady and Waiting for Your Use

Help the Unified VCA Insurance Committee:• Reach More Human Resources

Personnel and Insurance Carriers• Make this Program Better

One of the Unified VCA Insurance Committee’s goal for early 2011 is to have at least one doctor per district give the

committee’s Workers Compensation presentation to the Human Resources Department of a company or insurance carrier. The committee hopes to get feedback on successes and determine ways to improve the presentations and guidance for members. The preliminary version debuted at the Fall Covnention this past September in Roanoke. To view or download the Power Point presentation (available for FREE to Unified VCA Members only), go to the Tools & Resources/Insurance section of the association’s web site. If you would like assistance in conducting such a presentation or have any questions or suggestions on how to make it better, please contact Dr. Michael Placide, creator of the presentation and member of the Unified VCA Insurance Committee, at drplacide@chirocenters.com.

DOCUMENTATION RESOURCESThe Chiropractic Summit brings chiropractic leaders from the ACA, ICA, COCSA, ACC, and others together to help us move our

profession forward with a cohesive message. The following link from the Summit’s Documentation Committee provides you with a number of valuable articles and tools. Take special note of the PQRI information (#8) -- It’s critically important that we report on PQRI

to Medicare! http://www.chirosummit.org/templates20/custom-content/-Documentation-Articles

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Unified VCA Spring Convention

April 29-May 1The Dulles Airport Hilton

Despite the icy temperatures outside right now, it won’t be long until the mercury rises. Celebrate the return of Spring

with a long weekend of valuable education, license renewal hours, staff training, profession and association updates, and new opportunities for fun and comaraderie.

DC ProgramFriday, April 29:

Morning HAVE SOME FUN! Golf Outing, chaired by Dr. Tom Wetzen or National Air & Space Museum Steven F. Udvar-Hazy Center - Guided tour

2:30-6:00pm “Bonus” Roundtables. Chose from:

EHR Panel Discussion with Dr. Steve Krauss, Future Health; Mr. Lance Hatfiled, GSTS Designs, and others. Suppliers involved in electronic health records comment on the importance of EHR and important factors to consider in preparing your own office.orWhole Body Functional Movement Assessment by Mark Mandell, DC, MBA: Learn about the quality of whole body patient care as well as the balance of patient care with profitability in relation to services and products. A key feature of this is the functional movement screening procedure which will be demonstrated. Differentiating between a wellness and pain care visit will be covered, as well as reviewing applicable protocols for patient history, examination, treatment, home care and documentation. Transitioning patients from passive to active care to wellness will be included. This course will also involve use of chiropractic and current event case studies, as well as published research studies. Sponsored by The Vitality Depot. NOTE: Dr. Mandell will instruct your CAs on Whole Body Functional Movement Assessment on Sunday morning.orCash Practices: Doctors of Chiropractic who run cash practices come together to discuss the unique aspects of this business model, its pros and cons, and to help colleagues who wish to avoid the insurance arena.

6:00-7:00pm Welcome Reception with ExhibitorsSpecial Guests: Members of the Washington Redskins Cheerleaders, Sponsored by Sport and Spine Rehab. Get your picture taken with the cheerleaders to help raise funds for the Unified VCA Legal and Legislative Fund, so we can continue to help doctors with important issues like Assignment of Benefits.

Saturday, April 30:

8:00-8:30am Continental Breakfast with Exhibitors

8:30-10:15am General Session: Wellness by Dr. James Chestnut, sponsored by Life University

10:00am-3:00pm For Spouses/Family: Trip to Leesburg Premium Outlets

10:15-10:30am Break with Exhibitors

10:30am-12:15pm Wellness by Dr. James Chestnut Continued

12:15-1:15pm Lunch with Exhibitors New Member Orientation

1:15-2:45 p.m. Break-outs: Wellness by Dr. James Chestnut Continued or Extremity Adjusting by the Council on Extremity Adjusting

2:45-3:45pm Profession News and General Membership Meeting: Healthcare reform and vital involvement in state exchanges; association benefits updates (Future Health, ChiroHealthUSA, more); association initiatives and strategic planning; ACA, ICA, Summit, Foundation for Chiropractic Progress, and other profession updates; more.

3:45-4:00pm Break-outs: Wellness by Dr. James Chestnut Continued or Extremity Adjusting by the Council on Extremity Adjusting

Sunday, May 1:

8:00-8:30am Continental Breakfast with Exhibitors

8:30-10:30am Break-outs: Common Pain Syndromes/Nutrition Interventions for the DC by Dr. Larry Plotkin, sponsored by Anabolic LaboratoriesorAdvanced Imaging by Dr. Peggy Seron, sponsored by Foot Levelers

10:30-11:00am Break with Exhibitors Final Auction Bidding

11:00am-1:00pm Break-outs: Common Pain Syndromes/Nutrition Interventions for the DC by Dr. Larry PlotkinorAdvanced Imaging by Dr. Peggy Seron

1:00-2:00pm Silent Auction Wrap-up

Shhhh...2nd Annual

Silent Auction

CA PROGRAM ON PAGE 7

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Dr. William Todd FisherDr. Joe Foley

Dr. Jay GreensteinDr. Leslie HolcombeDr. Joseph Kennedy

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Dr. Meredith OudtDr. Brad Robinson

Dr. Matthew SchrierDr. Randy ShortDr. Lonnie Slone

Dr. Will SonakDr. Ray TuckDr. Bill Ward

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help you thrive in today’s challenging healthcare environment. But if you’re the type of person who likes to get even more for less, you’ll want to consider upgrading your membership to Premiere. In addition to all the standard benefits, as a Premiere Member, you can enjoy:• FREE spring and fall convention for yourself.• FREE spring and fall convention for one of your CAs.• 10% ADDITIONAL discount on additional convention or

other seminars for you and/or your staff -- that’s above and beyond any already applicable member and early-bird discounts!

• Special membership certificate and badge to demonstrate your heightened commitment and participation.

• Special recognition in every issue of The Virginia Voice and on the new web site.

• Three payment options via EZ-Pay: annual, quarterly, or EVEN MONTHLY.

• Private bi-annual conference call, briefing or reception with leadership to keep you in-the-know.

If you and even just one staff person attends the conventions and a couple of additional programs during the year, Premiere DC Membership at $1200 a year can easily SAVE you $600 or more in registration fees alone! Plus it can be paid in quarterly or even MONTHLY installments, helping your cash flow and budget even more. For more information, contact the Unified VCA office.

“With the ability to manage my cash flow more easily via monthly dues payments and the savings I enjoy on CEUs and staff training, I can’t cost-justify NOT

upgrading to Premiere.”-- Dr. Meredith Oudt

“I love being a Premiere Member!”-- Dr. Joseph Kennedy

CA Program at Spring Convention

Friday, April 29:

Morning HAVE SOME FUN! Golf Outing, chaired by Dr. Tom Wetzen or National Air & Space Museum Steven F. Udvar-Hazy Center - Guided tour

2:30-6:00pm “Bonus” Roundtables. Chose from:(1) EHR Panel Discussion(2) Whole Body Functional Movement Assessment(3) Cash PracticesFor descriptions and speakers, see DC Program on page 5

6:00-7:00pm Welcome Reception with ExhibitorsSpecial Guests: Members of the Washington Redskins Cheerleaders, Sponsored by Sport and Spine Rehab.

Saturday:

8:00-8:30am Continental Breakfast with Exhibitors

8:30am-5:00pm Introduction/Overview of Rehab and Clinical Nutrition for the CA by Dr. Larry Plotkin, sponsored by Anabolic Labs or Wellness by Dr. James Chestnut, sponsored by Life University

12:15-1:15pm Lunch with Exhibitors

Sunday:

8:00-8:30am Continental Breakfast with Exhibitors

8:30-10:30am Whole Body Functional Movement Assessment by Mark Mandell, DC, MBA: Contribute more to your doctor’s practice quality by learning how to examine a patient for a wellness visit (functional evaluation); a slightly different exam process than a pain- problem-centric exam. Sponsored by The Vitality Depot.

10:30-11:00am Break with Exhibitors, Final Silent Auction Bidding

11:00am-12:00pm Whole Body Functional Movement Assessment

12:00-2:00pm Silent Auction Wrap-up

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Voices from VCAdoctalk

“I’ve been recommending the Ergocarrierto new moms and dads.

Any one have any other suggestions?”

Unified VCA Member Dolly A. Garnecki, DC, president and clinic director of Spinal Health & Wellness in Charlottesville

and executive editor of the parenting blog, “Traveling with Baby”, (http://travelingwithbaby.net) offers the following: “Personally, I recommend a stretchy wrap-type of carrier for newborns. There are several versatile carry positions where a newborn can nurse in a side position instead of the upright position that the Ergo requires. Ergo is nice with the buckles, but it doesn’t fit every torso length -- in many cases, I’ve seen it’s too long for very short torsos (both mom and baby). I like Mei-Tai type carriers for bigger babies, although it can hold newborns, too -- plus hefty toddlers and preschoolers in a back carry. The wrapping on a Mei-Tai is simpler than a single fabric wrap. For more experienced babywearers, woven wraps are awesome -- there are at least eight different carry positions. Ultimately, for babywearing a newborn to a toddler, a mom will most likely need to invest in at least two types of slings/carriers. The key is to try them on WITH her baby to find out what type is best for both. I recommend slings/carriers that don’t put a lot of strain on the pelvis (”V”-shaped crotch area on carriers tend to do this). Rather, I recommend carriers that distribute the baby’s upright weight on the thighs as well. For the moms’ postural considerations, I encourage them to avoid ring slings and pocket slings -- limited use with them, and they tend to cause major postural imbalances and

sore neck/shoulder when worn for long periods of time -- and moms tend to avoid using them once baby is in the 18-22 pound range. An Ergo, Mei-Tai, and even Moby wrap have longer usage life per baby, and the even distribution of baby’s weight on the adult wearer makes it more comfortable for longer wear time.”

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Now is the time to get PAID!

“Collection Season” Runs Through April

October marked the beginning of “collection season” for agencies; a roughly six-month period of mostly increasing

recoveries bookended by the dog days of summer and April’s tax deadline. Mike Dunn, IC System’s Chief Executive Officer, recently shared his thoughts on collection season and why NOW is the time for chiropractic practices to submit debts. “Collections always increase in the fall/winter. We speak to more debtors since they are home more than they were during the summer. We experience a slight leveling off in collections over the holidays as some debtors refuse to pay us and opt to spend discretionary income on gifts. However, we do not decrease our efforts during that critical timeframe. Rather, we offer various collector incentives to promote full staffing and collectors spend time closely evaluating each debtor’s financial situation. Based on our investigation, we can tell how a debtor is handling his/her other debts. In some cases, we can tell if their mortgage is current and if their credit cards are paid up. If so, we encourage him/her to take a cash advance or discuss other options to pay the client’s account TODAY. If we think, however, that a debtor can’t pay the full balance, we proceed with our tax-refund talk-off and set up a payment plan with the expectation we’ll receive a few smaller, manageable payments followed by a large final payment in early 2011. Essentially, the brief leveling-off timeframe around the holidays is a golden opportunity to ensure we’ll maximize client recoveries in Q1. The annual tax-time lift occurred in March and April for years; however, e-filing and direct deposits mean more debtors get refunds earlier and the new tax-time lift starts in January and peaks in February. Historically, our first-month collection percentage is 10% more on debts submitted in these months

compared to the rest of the year. And last but definitely not least… There is a credit-reporting factor in play throughout collection season. If a client has authorized credit reporting, and ALL clients should, we report the account to the national bureaus approximately 45 days after receiving and working the account. Debtors use refunds to make purchases (TV’s, down payments on cars, etc.) or to refinance; if we had the OK to credit report those accounts, purchases/refinances often mean a client gets PAID.”

Since IC System was established in 1938 as a two-person collection agency, it has grown to become an industry leader in accounts receivable management and collects for thousands of chiropractic offices nationwide. IC System holds endorsements from 500 professional and trade associations, including the Unified VCA. For more information, 800-279-3511 or visit www.icmemberbenefits.com. Be sure to ask for your MEMBER-ONLY BENEFITS and to request a FREE copy of “The Inside Fact$: Things Most Collection Agencies Won’t Tell You.”

Time Is Money: Your Money!!!After 120 days, you have less than a one-in-five chance of receiving payment on a debt. That’s why the Unified VCA

recommends the collection services of IC System.

[ ] I’d like to learn more

Office Name____________________________________________________

Contact Name___________________________________________________

Phone____________________________ Time To Call___________________

Email__________________________________________________________

FAX THIS FORM TO 800-279-8229

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Do You Like to Write or Tell Others About Chiropractic?

Unified VCA’s annual literary awards recognize those who are helping to spread Chiropractic’s positive message.

Every fall, the Awards Committee, chaired by Dr. Greg Walter in Roanoke, receives submissions in three categories:

• Literary Award: Doctors who have published a paper in a recognized scientific journal such as JACA, JMPT, etc.

• The John Stoke Award: Doctors who have published a

paper or article for lay consumption. NEW THIS YEAR: The John Stoke Award has been expanded to include blogs and the worldwide web.

• Journalism Award: Presented to a newspaper editor or

writer who has published/written a health-related story worthy of recognition.

Past award winners have included members such as Dr. Scott Banks, Dr. Daniel Shaye and Dr. Bill Erbe, as well as reporters and journalists such as Mr. Buss McCain, a Washington Post staff writer. For additional information, contact Dr. Walter at glwalterdc@cox.net.

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Deadlines Work

By Robert Wilson

As I sit here writing this column against the deadline, I’m reminded of my days as a young advertising copywriter when

I occasionally needed a deadline as motivation to finish a boring project. The deadline did more than motivate me to finish -- more often than not, it was what finally stimulated enough creative thinking to move me forward -- in other words, it motivated me to think outside of the box. “Thinking outside of the box.” Boy, has that phrase become overused. People are so often telling us that we need to think outside of the box that it has fallen into the realm of cliche. Never-the-less it is still true. Sometimes, however, we need to be put into a box first before we can think outside of it. A deadline is just such a box. I used to believe that the more freedom I had, the more creative I could be. But it doesn’t necessarily work that way. Ingenuity needs to be motivated by something, and if the desire to achieve isn’t there, then an uncomfortable boundary may work. Have you ever watched a man or a woman with one leg running a marathon or competing in downhill snow skiing? I have, and every time I’m deeply impressed because I have both of my legs and I can’t do either one. I used to wonder why they were able to do so much more than me when I was the one born with the greater advantage. Now I can see that the difference is that they were challenged by a boundary and I wasn’t. Some of them might even argue that they were the ones born with the greater advantage. Being unable to walk made them uncomfortable, and conquering their disability became a powerful motivating factor. They had to get out of that box! Think of creativity as a prisoner trying to bust out of jail. When your resources and opportunities Continued on page 14

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are limited you must become innovative. A good illustration of this is the World War II movie The Great Escape. It is an amazing tale of ingenuity. Men with little to work with escape from a German POW camp. In addition to digging three tunnels without shovels, they made hand drawn traveling documents and identification papers that looked authentic enough to pass for ones made on a printing press. Now that was a box to get out of! I have enjoyed working for myself most of my adult life. People frequently tell me they wish they could be self-employed like I am. They say things like, “If I could just get one client then I could quit my job.” My response is always the same, “Until you quit your job, you are never going to find that first client. There is nothing like the deadline of a rent or mortgage payment staring you down at the end of the month to motivate you to get out and look for clients.“ Everyone works under some kind of deadline. They force us to prioritize our responsibilities; they limit procrastination; and they help us achieve our work related goals. But, we often lack them in our private lives. We are not given deadlines to accomplish our most important personal goals and without those boundaries procrastination can creep in and destroy our best intentions. The trick is to impose a deadline on yourself. But it has to have some teeth to work. Here’s how to do it: Write down your goal. Then set a reasonable date in which you can achieve it. Next, go to your bank or attorney and set up an escrow account. Now add the teeth -- put into the account an amount of money that will hurt to lose: $1,000... $10,000... $100,000... you decide! Set it up so that if you haven’t achieved your goal by the deadline then the funds go to a favorite charity... or make it even more motivating: let the funds go to your worst enemy! Not ready to try that? Then try the buddy system. Pair up with a friend and each of you take responsibility to follow up on the other one. You can get together once a week and check on each other’s progress. If goals aren’t being met, then nag each other into the UnComfort Zone!

Continued from page 13

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Assignment of Benefits Q&A

It is now clear that PI liability and Med-Pay carriers will no longer be able to send payment for your services directly to your patient

when you have a properly executed Assignment of Benefits signed by your patient and you notify the carrier. The Unified VCA legal/legislative teams requested and received an official Virginia Attorney General’s opinion on this important chiropractic issue.

Q: At the bottom of the new form, under “Health Care Provider:” there are a few blanks to be filled in. What goes in “By” and “Its?”A: Under “Health Care Provider,” put your clinic name if you are a Corporation. “By” would be your signature and “Its” would be your position in the corporation (owner, president, etc). If you are not a corporation, “Its” can be eliminated. For non-corps, the Doctor’s name and his/her signature is all that is needed.

Q: Does the patient have to sign a new assignment form every time he/she comes in?A: No. Have the patient sign the assignment form and then keep it on file. When you submit your claims, indicate that you have an assignment on file or photocopy the assignment and send it with your claims whenever you submit.

Q: Are docs getting paid directly by the liability carrier in PI cases? Due to the recent AG’s opinion?A: Yes and yes! The document is on the Unified VCA website, along with instructions on how to properly use it. Do NOT take short cuts. Follow the instructions exactly. This only works if the patient does not have an attorney as their lien goes to the front of the list by law and they get paid first. Don’t be confused by the term “lien” here: you will use a contractual “Assignment of Benefits.”

Q: What if the lawyer says he doesn’t want to sign my assignment?A: The attorney does not have to sign the Assignment or agree to it, he only needs to know that the benefits in the case has been assigned to you. Send him the Assignment by certified mail and stamp each bill you send him “Benefits Assigned” and he is obligated to honor the Assignment.

LOTS MORE ASSIGNMENT OF BENEFITS INFO.:www.virginiachiropractic.org

Tools & Resources / Insurance / Personal Injury

19

Welcome, New Members!

The following individuals have joined the Unified VCA since the autumn newsletter was published.

Jennet AmonteThesier Chiropractic ClinicVirginia Beach, VAPhone 757-486=3222StudentReferred by Dr. Bill Thesier

John Paul “JP” AmonteThesier Chiropractic ClinicVirginia Beach, VAPhone 757-436-3222StudentReferred by Dr. Bill Thesier

George N Bakalis, DCPrince William Chiropractic Clinic IncWoodbridge, VAPhone 703-491-8888princechiroprac@aol.comFourth Year or more

Jeffrey A Brown, DCAlexandria Chiropractic CtrAlexandria, VAPhone 703-370-5335alxchiro@aol.comFourth Year or moreReferred by Dr. Karen DeYoung

Mary Kathleen Burke, DCRileyville, VAPhone 703-389-1685Student

Marc S DeGennaro, MA, DCAlbemarle Family ChiropracticCharlottesville, VAPhone 434-978-4473msdafc@embarqmail.comFourth Year or more

Theresa A Dunton, DCCloverleaf ChiropracticBig Stone Gap, VAPhone 276-523-7128Fourth Year or moreReferred by Dr. Matthew Jessee

Ray A Foxworth, FICC, MCS-PCHIROHEALTHUSABrandon, MSPhone 888-719-9990rafdc@chirohealthusa.comAllied SupplierMEDICAL DISCOUNT PLAN ORGANIZATION; SEE AD ON PAGE 2; MEMBER BENEFIT!

Douglas Gold, DCThe Grove Center for Chiropractic & WellnessVienna, VAPhone 703-760-8110Dr_Gold@grovewellness.comFirst Year DCReferred by Dr. Kristin Grove

Andy T Harris, DCHarris Chiropractic ClinicSmithfield, VAPhone 757-357-5400andyth09@hotmail.comFourth Year or more

Mark Paul Haynes, DCCoastal ChiropracticNorfolk, VAPhone 757-627-2700Fourth Year or moreReferred by Dr. Brad Robinson

Davis T Holt, DC, CCSPHolt ChiropracticArlington, VAPhone 703-953-2309Fourth Year or more

Tate J Huffman, DCCore Integrated Health & Chiropractic PLLCCharlottesville, VAPhone 434-963-2673corechiropractic@hotmail.comFirst Year DC

Brian Jensen, DCDMX OF VIRGINIA INCRoanoke, VAPhone 877-442-4369dmx@dmxofvirginia.comAllied SupplierDIGITAL MOTION X-RAY

James C Kim, DCSpine & Sport RehabWoodbridge, VAPhone 703-878-3434jameskimdc@gmail.comFirst Year DCReferred by Dr. Steven Han

Robert M Knapp, DCAdvanced Alexandria Chiropractic Office LtdAlexandria, VAPhone 703-823-2201drknapp@aachiropractic.comFourth Year or more

Alan Krasnoff, DCChesapeake, VAPhone 757-547-9266Retired DC

John R McWilliams, DCPurcellville Chiropractic CtrPurcellville, VAPhone 540-338-1663dr.john.mcwilliams@gmail.comFourth Year or moreReferred by Dr. Eric Terrell

Olya Morgen, DCFull Motion Life & SportArlington, VAPhone 703-536-5900Fourth Year or more

Judith C Morris, DCDahlgren Chiropractic Clinic/HSVCKing George, VAPhone 540-644-1119Fourth Year or more

Scott E Muzinski, DCIntegrative Chiropractic & Natural Medicine IncArlington, VAPhone 703-237-5999drscottmuzinski@aol.comFourth Year or more

Tejal Patel, DCMisra ChiropracticAshburn, VAPhone 703-724-9899Third Year DC

Yvoune K Petrie, DCVirginia Functional MedicineVienna, VAPhone 703-938-1421Fourth Year or moreReferred by Dr. Chris Bruno

ARE YOU MAXIMIZING

YOUR MEMBERSHIP INVESTMENT?

Stephane Provencher, DCGood Day Total Health ClinicAnnandale, VAPhone 703-914-4663stephane.provencher@gmail.comFirst Year DCReferred by Dr. Ray Tuck

Anna M Story, DCStory Chiropractic CtrKinston, NCPhone 434-532-7291storychirocenter@yahoo.comFirst Year DC

Mitchell Todd Watson, DCVirginia Sports & ChiropracticAbingdon, VAPhone 276-206-8202dr.toddwatson@gmail.comSecond Year DC

Dale F Williams, DCDeGraw Chiropractic CtrSouth Boston, VAPhone 434-575-5130First Year DCReferred by Dr. Chris DeGraw

Carole N Yared, DCYousefi Chiropractic ClinicArlington, VAPhone 703-522-8855caroleyared@gmail.comFourth Year or more

You get hit with so much information from so many sources that it can be tough to keep up with your benefits as a Unified VCA Member. Do you know:• That there are Assignment of Benefits guidelines, PowerPoint

presentations, research studies, sample forms, and other tools/resources available to you on the new web site?

• That the Celebrate Wellness! series of patient education hand-outs and audio clips now exceeds twenty topics?

• That in addition to the four flash presentations you can use to incresae MD referrals, you now also have a presentation targeting personal injury attorneys at your disposal?

• That past issues of your Member FYIs and The Virginia Voice are available online, 24/7?

Take a moment to peruse the Unified VCA website and discover what you’ve been missing!

20

Classified Advertising

Unified VCA DC Members may place a classified ad

in The Virginia Voice and on VCA’s website free of charge. Fee is $85 for non-member DCs and all Suppliers. Listing will remain on website for 3 months, plus appear in at least 1 issue of VCA’s newsletter and at least 1 broadcast email/fax to DCs throughout Virginia. Limit of 35 words may be imposed. For deadlines, display ad info. and/or to submit your listing, e-mail vcacentral@hughes.net.

(Updated 1/25/2011, Listings from October 1, 2010)

Coverage

VACATION – MATERNITY – RELIEF COVERAGE: Dependable office coverage. Long/short term. 18+ yrs chiro exp. Flat rates, VA statewide. Palmer grad, NCMIC insured. Various techniques. For CV & rate info, call Mary Hodal, DC at 321-960-7056 or email

drmbh92@yahoo.com. [1/4/11]CHIROPRACTIC OFFICE COVERAGE: Experienced DC available for office coverage. Over 20 years clinical experience. Call 703-473-2662 to schedule. [12/3/10]

VACATION RELIEF SVCS: Keep yr ofc open. Yr practice run yr way. 22 yrs exp ofc coverage. Proficient in many techniques. NCMIC insd. Statewide coverage. Refs. Reasonable rates. Call J Terry Fowler, DC at 770-953-2002 (vm), 770-597-2872 (c), or 678-494-1523 (h). Email jtfowlerdc@yahoo.com.

Position Available

ASSOC POSITION: Va Bch chiro office looking for focused, on-purpose dr to join our wellness-based practice. We incorp spinal rehab, MT & are focused on educating our patients on subluxation & wellness. We serve many

people in the Hampton Rds area & are looking to grow even more! If you have a “big-picture” attitude, pls send CV to vbchiro@gmail.com w/cover ltr explaining why you’d be a great addn to our practice. [1/25/11]

PART-TIME ASSOCIATE or Independent Contractor position in Woodbridge. Office uses a whole body approach integrating adjustments, myo-fascial (ART & Graston) & physiotherapy. Must be diligent, ethical, have good comm skills. Send resume to: shan628@yahoo.com [01-25-11]

CHIROPRACTIC ASSOC DR position in a 20 yr estd integrative medical practice in Arlington. Base salary + bonuses. Will train the right candidate. MUST have good adjustment & people skills. For more info about practice & me, visit www.advhealthctr.com. Call Dr Ziegler at 703-521-0644 or e-mail drlou@advhealthctr.com. [1/3/11]

MULTI DISCIPLINE ALTER-NATIVE CARE CTRS LTD, a multi-mil $ privately held co, is expanding its reach in NoVa & MD Metro DC area. MDACC is a multidiscipline corp that utilizes the “Team” approach to treatment by incorporating chiro, acupuncture, functional med (nutritional protocols) & MT. If you are an expd doc working in your own practice/looking for equity partner to manage & lead you into new practice horizons or an expd assoc w/great hands & willingness to work in a team atmosphere, send brief resume to MDACC1@aol.com. Note in subject line: Attn Corp Dev & Expansion. MDACC will interview drs who have a tract record of success, are extremely self motivated, have exceptional clinical skills & comm abilities. Upon review of credentials, a corp rep will contact you for a phone interview/briefing. [1/3/11]

PALMERCARE CHIROPRAC-TIC is a wellness-based Chiro system w/4 clinics in NoVa

& growing. Looking for 3 Assoc Drs for different offices -- 1 in Sterling, 1 in Vienna, 1 for a newly opening clinic in Arlington. Must have HIGH energy, good comm skills, be OPTIMISTIC, & have good Chiro skills. Great chance for growth & advancement in our clinics. Pay based on exp but you will have a great chance to make a very good paycheck. Call Dr Malnikof or Harley, 703-421-2990, Palmercare@hotmail.com. Website: www.Palmercare.com. [11/11/10]

INDEP CONTRACTOR: Richmond, west end. Low monthly min + high % to the right person. Call 804-218-5607. [11/11/10]

ASSOC DC / INDEP CONTRACTOR (NoVa) Needed: Full or Part-Time Chiro drs w/ excellent clinical & comm skills, motivated, self-starter. Competitive salary & profit sharing with opp for partnership. Acupuncture subspecialty, myofascial, PT a plus. Email CV to DLeeDC@RaphaClinic.com. [11/10/10]

INDEP CONTRACTOR position available in Va Bch. Looking for an upbeat, motivated dr to start own practice in an est’d office w/the assistance of our front desk staff for scheduling & billing. Enjoy the freedom of making your own decisions, yet w/out the liability of a high start-up cost. Email Dr Adam Keefe at ajkeefe@yahoo.com or call 757-237-2730 for more info. [11/1/10]

SEEKING ACCOC: An upbeat, enthusiastic dr who wants to join great team in NoVa in 1of the fastest growing/most lucrative counties. Must be positive, willing to work hard to achieve success. Bilingual (Eng/Sp) helpful/not reqd. We supply rm, procedures, admin, billing: maintain reception area, sched appts, answer phs, greet patients, maintain accts/records, file ins, assist w/ins apps, ofc mats. New on-site x - r a y , Continued on page 22

21

VIRGINIA C-PAC 2010 HONOR ROLL

Robert Bowie Society($1000 +)Charles ArndtChris DeGrawElliot EisenbergWilliam Todd Fisher Bibhu Misra Noah Malavolti Brad RobinsonBurt RubinMatthew SchrierRay TuckAdam WildingJohn Willis

Gold ($600 to $999)Jeff BowersDonald & Robin BresnahanChris BrownEd & Paula CarltonPhillip ConnollyChris FreyJay GreensteinKirsten GroveMichael HaasMichael KotkinSusan MartinMinesh PatelSteve TraubenCharlene TruhlikLee & Wendy WillisHoward Wilson

Silver ($400-$599)Janice Piedmont DunlopJoe Foley & Diane DeReu-FoleyValerie HoffmanSharon MarquinaWade QuinnJennifer RathmannMartin SkoppGlenn StarkSusan SweetenJerry Ray Willis

Emerald ($200 to $399)Scott BanksLogan BrookeKaren CerwinskiJohn ClaytonPaul CronkDebra FarrellLawrence GranlundRobert HedgepathRobert LeibCorey McKinleyMeredith OudtStewart RawnsleyMelanie SixWilliam ThesierGarrett ThompsonNick TriandosPaul TschetschotWilliam WardTom Wetzen

Bronze (Up to $199)George BakalisLarry BompianiChristopher BrunoCraig CamidgeEric CarlsenCamille D’AmatoTom DickersonJohn FernandezAlicia HauptJoshua KeeneJason KingCharlie O’DeaDennis O’HaraMatt PastoreEric & Suzanne SantjerGary SantoraRobert SimpsonSean SkinnerPeter StantonGarrett Stover, IIIEric TerrellSteve VeGodskyMichael Whalen

The next two years will probably be the

most important to Virginia chiropractors since we became licensed to practice, since most of the federal health care reforms will be taking place at the state level. If we want to have any influence as to what our future will look like, we must dig DEEP by giving to CPAC and supporting our legislators locally. We must meet them, go to their fundraisers and help in their campaigns. It is critical to support CPAC, which gives to legislators who have no chiropractor living in their district -- several of which are on key committees and in leadership positions. This past year was monumental for us concerning “Assignment of Benefits”. Assignments are a transfer of ownership of benefits such as insurance benefits from Med-pay. It is a contract obligating attorneys, liability carriers and med-pay carriers to honor. The Assignment of Benefits protects your entire bill per a recent official opinion issued by Virginia’s Attorney General, Kenneth T. Cuccinelli, II. In 2010 part of our scope of practice was modified by the Physical Therapy Bill which would have taken away our ability to perform and bill for Physical Therapeutic Services. This year is going to be really tough. The state’s congressional districts will be redefined due to population

changes. ALL of the legislative seats are up for reelection. Our newfound allies in the General Assembly will look to CPAC for assistance with their re-election campaigns. It is even more important that we maintain and strengthen our voice and access to legislators serving on committees which control the future of our practice. Help protect your future by making a sizeable contribution to CPAC. We DO accept credit cards. Call Merrillle at 540-951-6900. Contributions should be made payable to CPAC and MAILED DIRECTLY to C-PAC, PO Box 1433, Christiansburg, VA 24068 It is vitally important for everyone to become more active. If we do not SUCCEED, it is because we did not try hard enough. Thanks to those of you who give to your local legislators, give to CPAC and help campaign. Only 20% of the Unified VCA membership gave to CPAC in 2010. Is it fair for20 % of the members to work for the other 80%? What is your excuse? We ask that each member and non-member consider $720 for 2011. That breaks down to $60 per month or $15 per week -- just ONE adjustment per month! That would give CPAC a war chest of $360,000! Wouldn’t the legislators sit up and listen to us then?!

Charlene Truhlik, DCChair, C-PAC

(Per C-PAC on 1/6/2011)

The Future of Chiropractic Starts TODAY

I want to advance and defend my profession by contributing to VA-CPAC.The VA-CPAC works diligently to support Pro-chiropractic candidates in the State of Virginia.

I wish to contribute: $________ Monthly OR $_________ One Time(Every contribution is personal. As a reference point, the minimum suggested donation is $70 per month.)

Name:___________________________________________________ Signature: ____________________________________________________

Personal Credit Card Payment Option (EZ-Pay): _____Visa or _____MasterCard

Account #:______________________________________________________ Exp. Date:______________________________

Personal Check Payment Option: Check #:_________________ Name on Check:______________________________________________

Street Address:______________________________________________ City:___________________________ State:______ Zip:_____________

Mail to VA-CPAC, POB 1433, Christiansburg, VA 24168 OR fax form to 540-951-8900.

22

complete office r e n o v a t i o n ,

paperless software, exc location w/ great visibility, flex hrs. Svcing community for 8 yrs; 10 more yrs on lease. Ofc combines chiro, physiotherapy, nutrition, acupuncture; treats injuries, PI, WC, OB, peds, ins, cash, anyone needing care. Send resume to chiro208@vacoxmail.com or fax 703-904-8529. [10/13/10]

SEEKING INDEP CONTRACTOR: An upbeat, enthusiastic dr who wants to join great team in NoVa in 1of the fastest growing/most lucrative counties. Must be positive, willing to work hard to achieve success. Bilingual (Eng/Sp) helpful/not reqd. We supply rm, procedures, admin, billing: maintain reception area, sched appts, answer phs, greet patients, maintain accts/records, file ins, assist w/ins apps, ofc mats. New on-site digital x-ray, complete office renovation, paperless software, exc location w/great visibility, flex hrs. Svcing community for 12 yrs; 10 more yrs on lease. Office combines chiro, physiotherapy, nutrition, acupuncture; treats injuries, PI, WC, OB, peds, ins, cash, anyone needing care. Send resume to chiro208@vacoxmail.com or fax 703-904-8529. [10/13/10]

BUSY FAIRFAX CHIROPRACTIC OFC seeks indep contractor. You will have full svc office, impeccably trained staff, billing sc, + help marketing your practice. PLS SEND RESUME TO GETWELLSTAYWELL@YAHOO.COM. [10/13/10]

RICHMOND: Short Pump/West-end practice seeking independent contractor (chiropractor). Willing to give a great % to the right person! Call 804-741-3068. [10/7/10]

SEEKING MOTIVATED ASSOC DR for growing Leesburg clinic. Full time, salary + bonus for right dr. Pls email or fax resume to mistypauldc@aol.com or 703-777-8002. Call 703-777-2532 w/questions. [10/6/10]

SPORT AND SPINE REHAB, a rapidly growing Chiro, PT & Rehab co is looking for highly skilled, ethical DCs w/exc clinical, interpersonal & comm skills. Competitive salary, bonus structure, benefits plan inclusive of health, dental, life, long term disability insurance as well as cont ed benefit, 401K match, ownership plan, more. For more info, pls contact Dr Jay Greenstein at drjay@ssrehab.com.

Practices

ESTABLISHED PRACTICE > 20 years for sale in Norfolk. Clinic offers chiro, MT &

PT. Pls respond to cedarwoodchiro@aol.com, Dr Michele Henry. [1/11/11]

NORTHERN VA practice for sale. Beautiful chiro ofc. Family practice, nutrition, sports injs. Collections $265,000. Low OH. Trained staff. 45 min west of DC. Great community. Ideal turn-key opportunity. Room for growth. Dr retiring. Priced to sell. Possible owner financing. Serious inqs only. 703-272-7693, email onegooddoc@gmail.com. [12/9/10]

CHIRO/SPORTS REHAB: “Turn Key” business in prestigious 100K sq ft fitness ctr. Centrally located to anchor stores, malls, corp business. Unltd in-house mktg involving fitness ctr’s mo. corp

business. Immeasurable walk-by traffic. Strong synergy w/gym utilizing captive audience to Health Wellness & Mktg. Clinic emphasis: extremities, sport injury, rehab, PT, MT, foot analysis, diagnosis testing. Secure, incredible growth potential for athletic, health-conscious individual. $175K neg. Will consider owner financing. Call 609-276-1616, email JTBayville@aol.com. [11/2/10]

MANASSAS: $100,000. Special sale on a great established practice in prime location. The last 3 year collection avg is $235,000. Low OH (40% monthly avg), staff is well trained & certified. Chiropractic general practice + sports therapy & rehab focus. Contact

Continued from page 20

Continued on page 23

Unified VCA Members have free access to professional, concise, evidence-based, and entertaining tools to help build relationships with other healthcare providers. The presentations provide an effective and EASY way to reach out to them in a way that is meaningful to them to offer your services, educate about Chiropractic, and show how incorporating chiropractic into their healthcare team will help their practice and their patients.

“Since implementing the program I now have new primary care doctors in

my area sending menew patients on a consistent basis.”- Todd P. Sullivan, DC

Topics available:1. When and How to Refer to a Chiropractor2. The Role of Chiropractic in Low Back Pain Management3. The Role of Chiropractic in Headache Management4. The Role of Chiropractic in Whiplash Treatment

The presentations may be easily viewed and/or downloaded from the members-only section of VCA’s website, www.virginiachiropractic.org. Step-by-step utilization instructions are also included to help you download the presentation to your computer, copy to a thumb drive or CD to use during a meeting or as part of a mailing, post to your web site, include as an e-mail attachment, and more.

You’ll also find links to samples of optional customization possibilities and special member pricing from A Trusted Voice.

MD-Outreach Presentations Ready and Waiting

23

The Virginia Voice

Winter, January 2011

The Unified Virginia Voice is the quarterly newsletter of the Unified Virginia Chiropractic Association, Afton, VA 22920, www.virginiachiropractic.org.

Staff: Julie K. Connolly, Executive Director.

Editorial Committee: Brad Robinson, DC, FICA, President; Scott Banks, DC, MS; John Willis, DC; Sandy Elbaum, DC.

Advertising: Call 540-932-3100 or e-mail vcacentral@hughes.net.

Subscriptions: A subscription to The Unified Virginia Voice is a benefit of membership. Back issues are archived for members only on association’s website.

Editorial Policy: Articles published in The Unified Virginia Voice are screened by the Editorial Committee. However, neither the Unified VCA nor its officers or staff investigate, endorse, or approve any statements of fact or opinion, which are solely the responsibility of the authors/sources of information. They are published on the authority of the writer(s) over whose name they appear and are not to be regarded as expressing the views of the VCA. Articles accepted for publication are subject to editing.

Advertising Policy: Acceptance and publication of an ad in The Unified Virginia Voice does not imply endorsement or approval of the company, product, or service. It is recommended that readers use due diligence and/or consult with their state chiropractic licensing board for further info. on the use of advertised products or services.

today for more info: Dr Tom Morgan, VolumeDC@aol.com, 770-748-6084, www.VolumePractice.com. [10/27]

FOR SALE: 18 yr community-based practice in Norfolk. 1400 sq ft attractive office in strip mall. Fully-equipped incl Zenity 210 & x-ray. Excellent goodwill & low OH. Massage rm rental adds to income w/top-notch, professional MTs. Dr is retiring. Pro appraisal at $89K. Serious inqs only: 757 813-5080. [10/26/10]

Products & Services

Traveling Chiropractors, America’s first Chiropractic relief service, has been providing quality caring temp office coverage & associates since 1984. Daily, weekly, & monthly rates. Call 800-624-8876 or visit www.travelingchiropractors.com. [11/2/10]

“Trusted VoiceTM ON-HOLD SYSTEM turns your “hold” button into an effective, efficient practice-building system. Radio/TV voiceovers, chiropractic radio, patient ed CDs also available. VCA endorsed. 10% VCA MBR discount! Call 877-55VOICE or visit www.trustedvoice.com.

DISABILITY INSURANCE: Unified VCA members are eligible for discounts on

disability insurance. Let us shop all the top carriers & bring you the best rate. VCA-endorsed. Call Dana at 804-897-9040 or email dharrison@mail.com.

Space Available

Privately owned massage studio in VA BCH looking to share space wi/DC. Three rms available approx 300 sq ft. Next door to Anytime Fitness. Prof “Client Centered” environment. Not contract based,1500 plus clients, 60 min massage is a full 60 min, SOAP notes kept on every client, ocean-inspired studio 3750 sq ft, great location. Feel free to visit our website: relaxmassagevb.com. For more info: relaxmassagevb@yahoo.com. [01/25/11]

LOOKING FOR SELF-MOTIVATED CHIROPRACTOR to share chiro wellness ctr. Ofc equipped with all new adjusting drop-tables, spinal decompression, cold laser phototherapy, elec stim, interseg traction, etc. In busy Vienna, 1.5 miles from Tysons Corner. Peter Huynh, 703-627-8665. [12/19/10]

Equipment

THOMAS TABLES HERITAGE 10 IST: Very light use, tan naugahyde table, natural oak-stained legs. IST features 8 rollers w/var speed vibration & up to 30

Continued from page 22 min timer. PU in Charlottesville. $475. Call 434-566-0126. [1/4/11]

WOULD LIKE TO TRADE OUR ACTIVATOR TABLE Softec model 747 for a reg Hylo -- possibly one that lifts to a vertical position. Jason Brown, DC, Centreville, spinedocs@cox.net. [12/17]

IMPULSE ADJUSTING INSTRUMENT: Only 1 year old, very light use, in perfect working order. Color is black. Comes w/the case, 2 dual probes & intro DVD. $495 + shipping. Call 757-430-0990. [11/29/10]

CHIROPRACTIC TABLES, ELECTRO THERAPY, ULTRASOUND, X-RAY, IST: New, used & reconditioned. HF Hill & Assoc, visit www.UsedChiroEquip.com, call 800-434-4551.

LOTS of equipment: Zenith Hylo, Cox 95, Relaxo, McManus, & portable adjusting tables; Hill anatomotors (w/ & w/out traction); Winco therapy tables; interferential; pulsed galvanic; low volt; diathermy; ultrasound; Balans chair; x-ray view boxes; rolling therapy carts; ultrasound chairs; Backswing inverted traction; scales; vibrators; SAMs. For details & pricing, call 540-382-7055 or email mcclelland.consulting@usit.net. [1/26/11]

24

• Assignment of Benefits• Omega-3 Fatty Acids• Spring Convention Program• Deadlines Work• New Benefits Programs• New Members• Classifieds• Supporting Suppliers• Much More

PO Box 15Afton, VA 22920