frequently asked questions (faq)

The IOCH Community Clinic Program evolved from the successful foundation laid by DMR Move, which has now become an integral part of the Institute of Contextual Health (IOCH). This transition reflects our strategic decision to encompass the effective methodologies of DMR Move within a more expansive and impactful organization. By integrating DMR Move’s practices into the broader spectrum of services offered by IOCH, the Community Clinic Program aims to extend the reach and enhance the quality of care provided to our community. This integration not only preserves the essence and effectiveness of DMR Move’s approach but also aligns with IOCH’s mission to deliver comprehensive, personalized healthcare solutions. Through this evolution, we are dedicated to continuing our tradition of excellence, now under the broader umbrella of IOCH, to better serve our clients and community.

At IOCH’s Community Clinic, we pride ourselves on providing hope to the hopeless. We often evaluate and treat many individuals who have tried countless other interventions or rehab clinics with limited success. Our team of highly qualified Movement and Pain Specialists are trained in a specific process-based approach called the Human Rehabilitation Framework (HRF) that is designed to teach you practical skills that are responsible for REAL change for people who are struggling.

Traditional approaches to rehabilitation often depend on diagnoses with specific step-by-step protocols for each body part. Research has proven that your whole body works together in most everything you do. At IOCH, we recognize that you are more than just a body part and your treatment should reflect that. That is why we are committed to treating you as a human, not a machine. Our process-based approach is different because it looks at the interconnection between body parts, systems, and functions that are universal to all humans. Our approach allows us to address multiple body parts while also focusing on specific individual needs.

Discover more about the Human Rehabilitation Framework on our dedicated page.

Yes, we participate many insurances. Here is our list of accepted insurances.

Absolutely! You always have a choice in your care, and you are free to choose any therapist you wish. At IOCH, we support your right to choose and will communicate specifically with your physician to ensure you are well taken care of.

Please arrive 10-15 minutes prior to your appointment time to check in. During the evaluation, your specific Movement and Pain Specialist will listen to your story and develop a customized plan that can meet your unique needs. Plan on 1 hour for your first appointment and wear comfortable clothing you can easily move around in.

It’s not necessary to bring the actual x-ray or MRI, but a typed report by the radiologist would be helpful.

If you do not wish to use your insurance or do not have insurance, we have cash pay options available to you. Visit our cash pay solutions page to learn more about our cash pay options.

Michigan is a Direct Access State, which means you have the right to pursue physical or occupational therapy without a physician referral first.

Occupational Therapy has no limits and for Physical Therapy, we can evaluate and treat illness and injury for 10 visits or 21 days without physician consultation.

During, or after this time, we can re-assess and determine whether your condition has improved enough that you could continue with our Movement and Wellness programs, or whether we would need to consult with a physician for continuing treatment.

If your physician has already referred you for rehabilitation services, we do not have to worry about these time limits and will work closely with your physician in ensuring your treatment is appropriate and uninterrupted.

It is recommended that you wear comfortable shoes and clothing that allow you to move easily during your visit.

Fill out the schedule form and one of our representatives will be in touch with you soon!

All treatment sessions will be 1-on-1 with one of our skilled Movement and Pain Specialists. You can expect the initial evaluation to be approximately one hour in length, and each treatment session is between 30-45 minutes. If the Movement and Pain Specialist determines that more time is needed, time slots will be adjusted based on your functional needs.

Our schedules are built to give all our Movement and Pain Specialists adequate time to listen to your story and provide 1-on-1 care with you the entire time you are in the clinic. We do not overlap any visits or share our clients with technicians or aides.

All our clinicians are extensively trained and mentored with the Human Rehabilitation Framework (HRF). The HRF is the world’s FIRST process-based approach to rehabilitation and has been proven to help thousands of clients struggling with chronic and complex pain and movement problems. 

Each clinician at our facility holds advanced degrees in their respective fields, such as DPT (Doctor of Physical Therapy), OTR/L (Occupational Therapist Registered/Licensed), OTD (Doctor of Occupational Therapy), PTA (Physical Therapist Assistant), or COTA (Certified Occupational Therapy Assistant), ensuring a high level of expertise and care.

Our team is deeply committed to ongoing professional development. Clinicians meet weekly to discuss case examples and engage in additional educational opportunities. Beyond our internal training, several team members also teach for IOCH’s Clinical Educational Program, providing education and training to rehabilitation professionals globally.

Although we are often very busy, our flexible schedules allow for opportunities to get you in as soon as 48 hours if needed. Please fill out the Urgent Referral Form and a representative will be in touch with you as soon as possible!

As a courtesy, we verify your insurance information on your first visit to discover deductible requirements and copays. Copays are payable before or after each visit. Our team then sends out bills to your home for what insurance does not cover.

Over 30 years ago, the World Health Organization (WHO), made it a goal to have all healthcare providers take on a biopsychosocial approach to health. Unfortunately, most of the world including the United States has been slow to adopt this modern scientific approach to helping people with their health. The biopsychosocial model addresses 3 factors: biology, psychology, and sociology.

Biology includes your anatomy, physiology, and biomechanics. It’s important to be very thorough to rule out more serious issues.

Psychology includes your mood, what you think and feel, and how you hold yourself. All these factors influence the state of your body and how you recover from injury and pain.

Sociology includes your relationships with family, friends, your work and communities. These relationships have a dramatic impact on your biology and mental health.

With a completed picture we are better able to understand the complex series of influences that could be causing or prolonging your condition. Only then can we develop a recovery plan to overcome your pain and movement challenges.

Discover how we incorporate the Biopsychosocial Model in our care by exploring our science section.


The Human Rehabilitation Framework (HRF) is a cutting edge, scientific approach dedicated to helping people with movement and pain problems. Whether your movement or pain problem is new or old, simple, or complex, the HRF can make immediate and long-term improvements with your current struggles. 

Discover more about the Human Rehabilitation Framework on our dedicated page.

Psychological flexibility is a skill that helps individuals’ function at their highest level by remaining present in the moment, even with difficult bodily sensations, emotions, and thoughts. At the same time, it allows a person to act based on the current situation and in support of their personal values. This helps with adapting to fluctuating situational demands, reconfiguring mental resources, shifting perspective, and balancing competing desires, needs, and life requirements. Psychological flexibility has been shown to impact more health factors than any other factor previously studied. 1,2

1.) Kashdan TB, Rottenberg J. Psychological flexibility as a fundamental aspect of health. Clinical psychology review.2010;30(7):865-878.

2.) Hayes SC, Ciarrochi J, Hofmann SG, Chin F, Sahdra B. Evolving an idionomic approach to processes of change: Towards a unified personalized science of human improvement. Behav Res Ther. Sep 2022;156:104155. doi:10.1016/j.brat.2022.104155

When it comes to treating pain in athletes, the world-wide consensus is that we are not treating it appropriately with the current healthcare model.

Organizations ranging from the International Olympic Committee (IOC), the National Collegiate Athletic Association (NCAA), and US Military have put out official statements that athletes in pain, in particular elite athletes, should be treated by sports medicine clinicians who have a thorough understanding of the Biopsychosocial Model. Specific to physical therapy, the IOC recommends that physical therapists who treat athletes should be trained to “identify and address inaccurate conceptualizations of pain and injury plus psychosocial and contextual influences on pain” and be able to educate “the athlete regarding the role of the central nervous system in pain, especially in chronic pain.”

DMR Move meets, and exceeds, international standards for the treatment of pain in athletes.

Our Movement and Pain Specialists are trained in the current science of pain and movement, as well as education and treatment strategies related to this knowledge. In addition, our facility is fully equipped to provide the appropriate physical stresses needed for athletes to meet the demands of their sport.

Learn more about what the International Olympic Committee and US Military expects of sports medicine clinicians.

client stories

Learn about the experiences and success from many of our clients.


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