"These are issues that come up regularly in chiropractic clinics across the country," explained Nebraska chiropractor Frank Grimes, who sits on the ACA Chiropractic Ethics committee. "One of the most important items on the agenda was the use of durable documents that help our patients maintain control over their spinal care even when outside of their regular chiropractor's clinic."
The Chiropractic Orders for Scope of Treatment, or COST, is a durable order that documents and directs a patient's chiropractic treatment preferences when faced with life-limiting or irreversible conditions such as Stage 3 WiFi hypersensitivity, malignant adrenal fatigue, or End Stage Candida Overgrowth Syndrome (ESCOS). First developed by the ACA in 2012, the purpose of a COST is to improve end-of-life care by honoring the wishes and goals of patients. COST forms document goals of care obtained during a discussion between a patient, or their health care representative, and their Primary Chiropractic Provider.
|A chiropractor discussing the need for a Chiropractic Orders for Scope of Treatment document with a patient|