First Visit

What to Expect on Your First Visit

A first visit at Gateway Upper Cervical Institute starts with a full health history and posture/neurological screening, followed by precision digital imaging to measure any misalignment at the top of the neck.

Knowing what to expect before you walk in removes a lot of the uncertainty, especially if you’ve been through disappointing appointments elsewhere. Here is the general process most new patients go through.

Step 1
Health history and consultation
- A detailed conversation about your symptoms, when they started, and what you’ve already tried
- Review of any prior imaging, diagnoses, or specialist visits
- A neurological and postural screening specific to upper cervical involvement
Step 2
Precision digital imaging
- Digital X-rays are used to measure the exact position of the atlas (C1) relative to the skull and the rest of the spine
- This is what distinguishes Advanced Orthogonal from a generalized adjustment — the correction is calculated from your own measurements
Step 3
Findings review
- Dr. Orris walks through what the imaging and exam show in plain language
- You’ll know whether upper cervical correction is a reasonable fit for what you’re experiencing before any correction is performed
Step 4
First correction, if appropriate
- A precise, low-force Advanced Orthogonal correction based on your specific measurements
- Post-correction imaging or checks to confirm the adjustment held
Step 5
A plan going forward
- A recommended care schedule based on what your case actually shows, not a fixed package
- Clear next steps, including when to expect to notice changes

Frequently Asked Questions

How long does a first visit take?

A first visit involves more than a typical follow-up because it includes the consultation and imaging in addition to the exam, so plan for more time than a routine adjustment. Call (636) 271-2960 for current scheduling specifics.

Do I need a referral to be seen?

No referral is required to schedule a first visit at Gateway Upper Cervical Institute.

What should I bring to my first visit?

Bring a list of your current symptoms and when they started, any relevant prior imaging or specialist notes you have access to, and your insurance information if you plan to use it.

Will I be adjusted on the first visit?

Often yes, once the imaging and exam are reviewed and a correction is appropriate for your specific measurements — but the priority is an accurate assessment first, not an adjustment on every visit regardless of findings.