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Frequently Asked Questions from Pacific Spine Specialists, Dr. Timothy Keenen, Dr Jayme Hiratzka and our Portland Spine Surgeon, our staff of spine surgery experts!


How do I become a new patient?

We value your time and look forward to helping you. The most effective way for us to do so, is for Dr. Keenen to review your MRI scan and for the New Patient Coordinator to speak with you about your symptoms. You may begin by first phoning the New Patient Coordinator at .

How Do I Refer a Patient?

We appreciate your confidence in Dr. Keenen and Pacific Spine Specialists of Portland, OR! We look forward to working with you.

FOR URGENT SAME DAY EVALUATIONS: Call our New Patient Coordinator at Please fill out our referral form below and we will contact your patient within 24 hours.

Click Here to fill out the Patient Provider Referral

Dr. Keenen welcomes chiropractic referrals, and communicates with referring physicians as patients return in follow up for continued Chiropractic care.

Do I need a referral?

We do not require a referral. Check with your insurance to see if you need a referral from your Primary Care Physician in order for your insurance to cover your initial visit and any subsequent visits.

What should I expect at the first visit?

You will be mailed a Welcome Packet with New Patient Paperwork that includes:

  • Patient Registration
  • Billing and Financial
  • Medical History Form

When you arrive at the office on the day of your appointment the receptionist will ask for your

  • Your insurance card
  • Driver’s License
  • Completed New Patient Paperwork
  • Complete list of your medications

Copays will be collected at this time. When it is your appointment time, the Medical Assistant will escort you to a room. Patients with Lower back issues will be asked to put on a gown. Next a provider will be in to speak with you, perform a physical exam, review your MRI, and discuss treatment options. Please expect an hour for your visit.

Is Laser spine surgery useful?

Studies challenge the effectiveness of laser-assisted procedures. In an article written by the American Association of Orthopedic Surgeons (AAOS) they dig deeper into studies, history, and references about the ineffectiveness of laser spine surgery. Read more about it here.