Forms
SPINAL NERVE DISTRIBUTION FORM
Show Your Patients That Their Nervous System is an Extensive Communication Network.
Give your patients an insight to the expansive distribution their nervous system has throughout their body. Use this visual to explain how impulses travel from the brain to the rest of the patient's body and vice versa.
ORDER THE MATCHING 24" X 36" READY TO FRAME POSTER
PAD OF 100 - 8.5" X 11"
SUBLUXATION HANDOUT
The Degeneration Explanation
This handout is great for progress reports by showing patients the degenerative effects of uncorrected subluxations. Used during follow-ups, this reminds patients of the importance of their chiropractic care and why they need consistency with their treatment plan.
PAD OF 100 - 8.5" X 11"
TEXT NECK PAD OF 50
THREE TYPES OF CARE FORM
Keep Your Patients on Track
Quite often a patient will start to feel better during their initial adjustments. This can be a confusing time for patients because they associate feeling better with the correction of their problem, when most commonly that is not the case.
Be prepared to address this concern by using this handout to reinforce the message that was covered during their initial report of findings.
1. Complete this with the patient's name and ate and then circle the statement that best describes the patient's current subjective complaints.
2. Write the most current treatment frequency under the corresponding phase of care.
3. Explain to patient's which phase of care they are in and how their care will progress into the future phases.
4. Give the completed handout to patients so they can take it home and share it with any co-decision makers or others needing chiropractic care.
PAD OF 50 - 8.5" X 11" - ENGLISH
TIP OF ICEBERG FORM
Show the Hidden Dangers of Subluxation
This enduring patient communication tool has been a long-lived favorite of experienced and new clinics alike. Use this handout to help patients understand that pain, which is commonly the first thing to disappear during corrective care, has little bearing on the actual correction of the underlying cause - subluxation.
PAD OF 100 - 8.5" X 11"
V.S.C. FORM
Patient compliance increases with patient understanding. This is the only artwork available that depicts anatomical examples of afferent and efferent impulses, the spinal cord's internal position to the spinal bones, and the anotomical effects of subxuxation.
PAD OF 100 - 8.5" X 11"
VERIFICATION OF NON-PREGNANCY - MINI PAD
These patient management forms are practice fundamentals. Priced for convenience, they can be kept throughout the clinic so you never have to make a patient wait.
PAD OF 100 - 4.25" X 5.5"
WAIVER OF X-RAYS/EXAMINATIONS - MINI PAD
These patient management forms are practice fundamentals. Priced for convenience, they can be kept throughout the clinic so you never have to make a patient wait.
PAD OF 100 - 4.25" X 5.5"
WELCOME TO OUR OFFICE - NEW PATIENT FORM SERIES
It is a very good idea to document so that patients understand your new patient procedures. The Welcome To Our Office Form combines a quick new patient procedure explanation with the required summary of health care privacy practices. This is an easy way to align your procedures with patient expectations and document HIPPA procedures.
PAD OF 100 - 8.5" X 11"
X-RAY FACTOR LOG BOOK
This log book is a perfect and cost-effective way to maintain daily exposure records. A commonly overlooked necessity for every clinic that performs x-rays.
1 Book - 50 Pages