Frequently Asked Questions

Below are some common questions asked in the office. If you can’t find the answers you are looking for, please feel free to contact us!

What should I look for when choosing a chiropractor?
An individual you are comfortable being around and with whom you feel will listen to you. A good practitioner will not only listen to your needs, but will work with you to get better, whether it be give you some home stretching to perform in between visits or to work together with other complementary practitioners to get you on your way to recovery.
Do I need a referral?
No, doctors of chiropractic are primary care practitioners. Just like your MD, a referral is not necessary.  We do try to work with your other health care practitioners when possible.
What should I do to prepare for my visit?
The front desk staff will tell you what is necessary.  In general, loose fitting clothing is best. If you are coming in for an injury, it is good to be able to recall when/how it happened so the doctor will be able to assess your injury appropriately.
Does the chiropractor 'crack' my bones? Does anything break?
After a thorough examination, the chiropractor may suggest a manipulation is appropriate. Nothing gets broken – the noise of the manipulation is nitrogen gas in the joint.
How is chiropractic different from physiotherapy/massage?
Chiropractors are specifically trained to work on the spine.
Can I be hurt?
Although it is very rare, an injury is possible, and a thorough exam and history will greatly reduce the risks.
Why do chiropractors want me to return after I already feel better?
A return visit may be necessary to follow up on the injury. Although you may feel much better, it is likely that the tissues are still damaged and need further care.
I think I have the same problem as my friend, will it take the same number of visits to fix my problem?
Each person heals differently.  Some variables that dictate how we heal are age, physical fitness, occupation and severity of the injury. After a thorough exam, the doctor will be able to give a rough estimate of recovery time – though it will depend of how one responds to treatment and his/her lifestyle.
I'm a new patient. How should I prepare for my visit?
Please see our New Patients page for questions regarding new patients.
What can a chiropractor treat/fix?

Typically chiropractors treat the spine or the articulating joints. In addition to traditional chiropractic, Dr. McKay also incorporates Active Release Techniques and Graston Techniques. Dr. McKay is also certified in Concussion Management.

I'm pregnant - can I still be treated? Is it safe?
Yes. Chiropractic care is very safe and effective during pregnancy.  Please let the doctor know you are pregnant so they can use the appropriate equipment/table that is designed for pregnant individuals.
Why is it important to have chiropractic check ups?
With our active lifestyles, it is reasonable to make sure our spines are functioning at their best. This is similar to when we get check ups by our dentists.
Do I need x-rays before I come in?
No. Typically the chiropractor would prefer to do an exam and then determine if x-rays are necessary. If you have recently had x-rays done relating to your injury and either have the x-rays, or report, it may be helpful during your initial visit, but is not mandatory.
My friend went to a chiropractor and s/he needed to come back for several visits and still didn't get better. If I don't get better will I need to come forever? What are my options?
No. The chiropractor should be giving specific time lines and markers to help you determine your progress.  This will vary from patient to patient depending on the severity of the injury.  For example, the chiropractor should provide a time frame for a reassesment.  At this time, a improvement in pain, muscle tightness and ranges of motion should be present.  If there is no improvement, the chiropractor should suggest a change in treatment plans.  The chiropractor may also suggest another complimentary health care practitioner to help at that point. Circumstances vary between individuals – it is best to discuss your unique condition with your chiropractor.
How do handle ICBC/WorkSafeBC claims? What info should I bring? What it the procedure?
Please see our Insurance page for details if you have an ICBC or WorkSafeBC claim.
Does MSP cover chiropractic care?
The Medical Services plan covers those who are under Premium Assistance. Please see our Insurance page for details.
Does extended health cover chiropractic care?
Yes. We are not aware of any plans that do not cover visits to the chiropractor.  Each plan varies in its extent of coverage, you will need to check with your employer to find out the extent of coverage.




If you are a Blue Cross member, we are now able to check to see how much they will cover for your visit, and we are able to directly bill that portion, so you do not need to submit a claim yourself. Be sure to bring your Policy and ID number with you to your visit. Please see our Insurance page for details.

What are your visit fees?

Chiropractic Assessment &Treatment

Initial Visit
(you have not been a patient of Dr. McKay previously, or it has been several years since your last visit):
Over 18 years: $80.
Under 18 years: $60.
MSP Subsidized over 18 years: $55.
Under 18 years MSP Subsidized: $25.

Reassess Visit
(you have been a patient of Dr. McKay, but it has been over a year since your last visit):
Over 18 years: $65.
Under 18 years: $55.
MSP Subsidized over 18 years: $40.
Under 18 years MSP Subsidized: $30.

Chiropractic Subsequent Treatment

Subsequent Visit
(your last visit with Dr. McKay has been within the past year)
Over 18 years: $55.
Under 18 years: $45.
MSP Subsidized over 18 years: $30.
Under 18 years MSP Subsidized: $20.

Concussion Management

If you have suffered a concussion, stop whatever activity you are doing, and get emergency care should you be experiencing the following symptoms: increased confusion, drowsiness, increased vomiting, shortage of attention.
Please see our Concussion Management page for more information.

Where can I get Concussion Management services?

Presently we offer Concussion Management services at our Richmond location.

I have suffered a concussion. What can expect at my initial visit, how should I prepare?

When you come into the office after suffering a concussion, you will be examined by Dr. McKay and asked a series of questions relating to your accident and your past history of concussions. If you have had multiple incidents, it will help to have the information ready (maybe have it written down), so that Dr. McKay can accurately assess your present situation and evaluate how past injuries may be affecting your condition.

You will then do an imPACT® neurocognitive exam on the computer to measure your present mental cognitive skills. It is important that you do not do any physical activity 3 hours before this exam, to ensure accurate results. The exam should take 20-30 minutes.

Dr. McKay will then perform a physical exam (SWAY™) and provide some recommendations for self-care and a treatment plan to help relieve your symptoms. This visit does not include treatment – a subsequent treatment visit should be scheduled as well should it be required.

How long will my appointments be?

Baseline Testing – allow for approximately 45 minutes
Post-Injury Assessment – allow for approximately 60 minutes
Reassessment (Return to Pre-Injury status) – allow for approximately 45 minutes

What is your fee schedule for Concussion Management?

Baseline Testing (imPACT®) – no recent/present concussion symptoms – best done at start of an athlete’s season $30.
Post Concussion Assessment
 – post injury – Consult/history, imPACT®, physical exam, no Baseline test on file $80.
Post Concussion Assessment (Baseline on file) – post injury – Consult/history, imPACT®, physical exam, comparative analysis of imPACT® results to baseline $65.
Reassess/Return-to-Play Assessment – Once pre-concussion symptoms are present – imPACT® and physical testing, return-to-play strategies and recommendations $65.

Subsequent Treatment fees are as per fee schedule.

How do I make an appointment for Concussion Management?

Please call our office at 604 232-0112 or send an email to request a concussion appointment. Unfortunately we cannot provide online booking for this service due to the equipment and room management required. Please note that this service is only available in our Richmond location.

Online Booking FAQs


How do I make an appointment online?

1) Chose the clinic you wish to make an appointment for from our Appointment Request page. (Please note that you currently cannot book online appointments for Dr. McKay in White Rock, but you can send a request)
2) You will be prompted to enter your username, email or mobile number to sign in. If you have already registered with this system, use your sign in you registered. If you haven’t created an account, it will prompt you to set a password for the account. Alternatively, you can just use your Twitter, Facebook or Google account to sign in.
3) Once you are signed in, click on “Book an Appointment”
4) You will be prompted to choose a treatment. Book a “Chiropractic Assessment & Treatment” if you have never been a patient of Dr. McKay before, or if it has been over a year since your last appointment. If you have been treated by Dr. McKay within the past year, book a “Chiropractic Subsequent Treatment”. Please do not choose a shorter visit, if it is not applicable to your situation. If you are unsure, please contact us and we can advise on the appropriate visit length.
5) If your desired time is not available, you can click on “Add yourself to the wait list” to be put on a wait list. We will contact you if a space becomes available.

What information is needed to make an online appointment?

You will need to set up an account, which will consist of a login (username), password and email address. To receive text messages, you will also need to provide your cell number.

How do I know what service I need?

Chiropractic Assessment & Treatment: You have not been a patient of Dr. McKay before, or it has been several years since your last visit or you are a returning patient and your last visit was over 1 year ago
Subsequent Chiropractic Treatment: You have had an appointment with Dr. McKay within the past year

If you are ever unsure as to when your last appointment was, feel free to contact us.

Can I make appointments for other clinics?
You are now able to make appointments for Richmond, Sandspit, Skidegate, Port Clements and Masset clinics. We currently cannot do online appointments for Dr. McKay in the White Rock location.


Each individual patient must have a unique login (username), but can share a common email with other family members.

What if I forget my username/password?

On the main login page enter your username and click “next”, then click on the “Forgot your name or password” link.

Should you have any problems with this process, please contact our office, and we can assist you.


How do I cancel an appointment?

1) Sign into your account
2) Find the appointment you want to cancel, and click the “Cancel” button

If you are still having problems with the system, or need further help (or you just don’t want to book online), please contact us, and we can help you!