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Answers · Indianapolis, Indiana

Frequently Asked Questions

Practical answers about appointments, treatments, billing and records at DOL Doctors Indiana. If you are looking for answers about a specific system — federal workers' compensation, an OWCP claim, or a personal injury case — the links below go straight to those.

Looking for something specific?

Answers by topic

Each of these pages has its own detailed FAQ section covering that system in depth.

Federal workers' compensation

Who FECA covers, what it pays, continuation of pay and wage-loss rates, and what a chiropractor can treat and bill under federal law.

OWCP claims, forms and appeals

The five elements every claim must prove, every claim form, deadlines, why claims get denied, and the three ways to appeal.

DOL and OWCP doctors

What those terms actually mean, whether the Department of Labor certifies anyone, your right to choose, and how to vet a provider.

Personal injury and auto accidents

What to do in the first 72 hours, how treatment gets paid, Indiana's filing deadline and comparative fault rule.

Section 1

Getting started and your first visit

How quickly can I get an appointment?

Usually within the same week, and often sooner for a new injury. Call (317) 991-5710 and say it is a new accident or work injury — timing matters clinically and it matters to the documentation, so those get prioritised. We are open Monday, Wednesday and Thursday 9:00 AM to 6:00 PM and Tuesday 9:00 AM to 2:00 PM.

Do I need a referral to be seen?

No. You can contact us directly. Under FECA, injured federal employees make their own initial choice of treating physician, and personal injury patients are free to choose their own provider as well. Some health insurance plans require a referral for their own coverage purposes, so check your plan if you intend to bill it.

What actually happens at my first appointment?

A history — how the injury happened, in detail, because the mechanism matters both clinically and evidentially. Then a physical examination including range of motion and orthopaedic and neurological testing, review of any imaging you already have, and imaging on site if it is indicated. You leave with a working diagnosis, a treatment plan, and a clear explanation of what gets documented and sent where. Expect it to take longer than a routine visit.

How long is a typical appointment?

The first visit runs longest because of the history, examination and paperwork. Follow-up treatment visits are considerably shorter. We will tell you what to expect for your specific plan at the initial evaluation rather than giving you a number that turns out to be wrong.

How many visits will I need?

It depends on the injury, its severity and how you respond. We will give you an expected range at the evaluation and revisit it as you progress. Two things we will not do: keep you in care longer than the injury warrants, or commit you to a long block of visits before we have seen how you respond. A record padded with unnecessary visits is bad medicine and, in a claim, a credibility problem.

Where do I park, and how do I find the office?

We are at 7430 Shadeland Ave #230, Indianapolis, IN 46250, on Floor 1 of the Shadeland Medical Center on the northeast side. Parking is free and on site. The office is roughly fifteen minutes from Fishers and Carmel via I-465 and I-69.

Section 2

Treatments and technology

What is Y-Axis Manual Spinal Decompression?

A rapid manual decompression of the full spine performed along the body's vertical axis — the Y axis — rather than segment by segment. It is used primarily for disc-related back and neck pain. Dr. Tolle trained in the technique under Dr. Gregory Johnson in Houston, Texas and is a certified Indiana provider. Whether it suits your case depends on your diagnosis and imaging, which is what the initial evaluation determines.

How is Y-Axis decompression different from a decompression table?

Mechanical decompression tables apply sustained traction over a session lasting many minutes, usually targeting a specific spinal region. Y-Axis Manual Spinal Decompression is delivered manually by the physician, applies to the whole spine at once, and takes seconds rather than minutes. They are different tools. Neither is universally better — the right one depends on your findings.

What is Calmare Scrambler Therapy and how does it work?

A non-invasive, drug-free treatment for nerve pain. Surface electrodes are placed on the skin around the painful area and the device transmits signals along the same nerve pathways that carry the pain, with the aim of substituting a non-pain signal for the pain signal the brain has learned to expect. There are no needles and no medication. Sessions are typically delivered in a consecutive series rather than one at a time.

Does Calmare therapy hurt?

It should not. Most patients describe the sensation as a tingling or light buzzing where the electrodes sit. Intensity is adjusted during the session, and it is adjusted down if anything becomes uncomfortable. If you find it painful, tell the clinician — that is a signal to change the settings, not something to endure.

Who is a candidate for Calmare therapy?

It is used for neuropathic pain — peripheral neuropathy, Complex Regional Pain Syndrome, post-surgical and post-traumatic nerve pain, and chemotherapy-induced neuropathy. It is aimed at pain generated by the nervous system rather than mechanical pain from a joint or disc. Candidacy depends on your diagnosis and history, including any implanted cardiac device, which is why it is assessed individually rather than booked sight-unseen.

What is Piezowave2 shockwave therapy?

A device that delivers focused acoustic pressure waves into soft tissue, used for chronic musculoskeletal pain and myofascial trigger points. It is non-invasive and requires no anaesthetic. It is often combined with other treatment in a plan rather than used alone.

What is the KATMAN technique?

A manual technique for stimulating the vagus nerve, used as part of the practice's approach to chronic and neuropathic pain. Like everything else here, whether it forms part of your plan depends on what the evaluation finds.

Do you take X-rays on site, and will I need an MRI?

Imaging is part of the evaluation where it is indicated. For federal workers' compensation patients this matters more than most people realise — under FECA, reimbursable chiropractic treatment requires a diagnosis of spinal subluxation demonstrated by X-ray, so imaging is not optional in those cases. MRI is ordered when the clinical picture calls for it, such as suspected disc herniation with nerve involvement, and we refer out for it. More on the FECA imaging requirement →

Section 3

Costs, billing and insurance

If my OWCP claim is denied, do I owe you for treatment already provided?

This is the right question to ask, and the honest answer is that it depends on what authorised the treatment. A Form CA-16 guarantees payment to the provider for 60 days from the date of injury whether or not the claim is later accepted, which is exactly why we press people to request one early. Treatment outside a CA-16 on a claim that is ultimately denied has to be resolved another way — health insurance, or an arrangement with us. Raise it at your consultation and we will tell you where you stand before you start, not after.

What happens if my CA-16 expires before I finish treatment?

The CA-16 authorisation runs 60 days from the date of injury. If your claim has been accepted by then, authorised treatment for the accepted conditions continues to be billed to the Department of Labor and nothing changes for you. If the claim is still pending, treatment continues but payment is not guaranteed in the same way until a decision comes through. We track those dates and will tell you when yours is approaching.

Will you bill my auto insurance directly after a crash?

Where medical payments coverage applies, yes — MedPay on your own auto policy pays accident medical bills regardless of fault, and many Indiana drivers have it without realising. The at-fault driver's liability insurer is different: it generally pays once, at settlement, rather than funding treatment along the way. We will identify which applies to you at the consultation. How accident treatment gets paid in Indiana →

Do you charge for completing forms and writing reports?

Physician-side OWCP forms — the CA-16, CA-17 and CA-20 — are part of treating a federal workers' compensation patient and are completed in-house as part of your care. Extended narrative reports requested by an attorney or an insurer are handled case by case; ask and we will tell you plainly before any work is done.

Can I be treated here if I have no insurance at all?

Yes. Self-pay is available, and for an accident case a letter of protection from an attorney can cover treatment out of an eventual settlement instead. Start with the free consultation so we can look at which route actually fits your situation — people often have coverage available to them, such as MedPay or uninsured motorist coverage, that they did not know they had.

Section 4

Records, reports and privacy

How do I get a copy of my medical records?

Ask us. You are entitled to your records, and we will provide them. You will be asked to complete a written authorisation first, which is a HIPAA requirement rather than an obstacle — it is what lets us release records to you or to anyone you nominate. Our HIPAA release form is available here.

Can you send records directly to my attorney or my agency?

Yes, once you have signed an authorisation naming them. For personal injury patients we routinely send complete records, itemised billing and narrative reports to attorneys in the format their office asks for. For federal workers' compensation patients, the reports OWCP and your employing agency need to administer the claim go to them as part of the process.

How long does it take to get a report written?

It depends on the report. Routine forms are handled as part of your visit. A detailed narrative report — the kind that establishes causal relationship for a claim or supports a settlement — takes longer because it is written properly rather than templated. If you are working to a deadline, an OWCP development letter or a filing date, say so when you request it and we will work to that date.

Does my employer see my full medical history?

No. For a federal work injury, your agency and OWCP receive the documents needed to administer the claim — the duty status report, the attending physician's report, and narrative reports OWCP requests — which concern the work injury. Unrelated medical history is not part of that. If you have a specific concern about something in your history, raise it at your appointment and we will tell you exactly what goes where.

Section 5

Special situations

I have an open federal claim and I was also in a car accident. Can you handle both?

Yes, and keeping them properly separated is the important part. They are different systems with different payers, and the records have to distinguish clearly which condition belongs to which event. Blurring them is how a federal claim gets a denial for an unrelated condition and how an accident claim gets discounted as pre-existing. Tell us about both at the outset so the documentation is clean from the start rather than untangled later.

I'm a veteran. Can I use VA care and OWCP at the same time?

They are separate systems with separate eligibility. VA healthcare relates to your service; FECA and OWCP cover injuries sustained while working as a federal civilian employee — including at a VA facility, which is a common situation for VA staff. A work injury is handled under OWCP regardless of veteran status. Because the interaction depends on your circumstances, confirm specifics with your VA coordinator and your OWCP district office.

I'm a contractor at a federal facility, not a federal employee. What applies to me?

Generally not FECA. Federal workers' compensation covers civilian employees of the United States government, and contractors are usually employed by the contracting company rather than the agency. Your coverage most likely runs through your employer's workers' compensation policy, which in Indiana means the state system — or another federal scheme depending on the work. We treat these injuries; the difference is who gets billed and which documentation standard applies, and we will sort that out at the consultation.

Can you treat me if I live outside Indianapolis or outside Indiana?

Patients travel to us from across Central Indiana and, for the nerve pain work in particular, from further out. Under FECA you are not restricted to providers near your home or duty station, so distance is a practical question rather than a rules question. The practical question is real though: a course of treatment means repeat visits, and gaps in treatment caused by a long drive hurt both recovery and a claim. Call and we will be honest about whether the travel makes sense for your case.

What if my injury turns out to need a specialist you don't provide?

We refer. Surgical opinions, nerve conduction studies, advanced imaging, psychiatric care and anything outside chiropractic scope go to the appropriate provider, and for federal patients the FECA scope limits make that boundary a formal one rather than a preference. Co-management is normal and we would rather refer early than stretch a case beyond what we should be treating.

Section 6

About the practice

Are you accepting new patients?

Yes. New federal workers' compensation patients, personal injury patients and nerve pain patients are all welcome, including people whose claim is already underway elsewhere. Start with the free consultation.

What are Dr. Tolle's credentials, and can I verify them?

Dr. Terry J. Tolle is a Doctor of Chiropractic licensed in Indiana under licence number 08001559A, with National Provider Identifier 1124131826. Both are independently checkable — the licence through the Indiana Professional Licensing Agency and the NPI through the NPPES registry. He has treated injured federal employees for more than 20 years and formerly served on the Board of Directors of the Indiana State Chiropractic Association. Full credentials and how to verify them →

Why is the practice called DOL Doctors if it isn't part of the Department of Labor?

The name describes who we treat, not who we work for. "DOL doctor" is informal shorthand in the federal workers' compensation world for a provider who treats federal employees and bills the Department of Labor. We are an independent private medical practice and are not affiliated with, endorsed by, or an agency of the U.S. Department of Labor, and we cannot make claim decisions. The Department of Labor does not certify or licence "DOL doctors" at all.

How do I use the patient portal?

The portal is at ttd.pehrportal.com. If you have not been set up yet or cannot get in, call the office on (317) 991-5710 and we will sort it out — it is faster than working it out on your own.

Free consultation

Question not answered here?

Ask us directly. The consultation costs nothing, carries no obligation, and is the fastest way to get an answer about your specific situation rather than a general one.

  • No cost and no obligation
  • Federal claims, personal injury and nerve pain
  • New, stalled and denied claims all reviewed
  • We will tell you if we are not the right practice

Prefer to talk? Call (317) 991-5710

DOL Doctors Indiana

7430 Shadeland Ave #230
Indianapolis, IN 46250
Floor 1 · Shadeland Medical Center

(317) 991-5710
Get directions

Office Hours

  • Monday9:00 AM – 6:00 PM
  • Tuesday9:00 AM – 2:00 PM
  • Wednesday9:00 AM – 6:00 PM
  • Thursday9:00 AM – 6:00 PM
  • FridayClosed
  • SaturdayClosed
  • SundayClosed

DOL Doctors Indiana is a private medical practice and is not affiliated with, endorsed by, or an agency of the U.S. Department of Labor. We are not a law firm and do not provide legal advice. Information on this page is general in nature and is not medical or legal advice, and is not a substitute for an individual evaluation. Rules and deadlines change — verify specifics with your OWCP district office or a licensed attorney. Individual results vary.