The first 90 days of a chiropractic clinic set the trajectory for years to come. Early decisions around systems, documentation, and workflow often determine whether a practice grows smoothly – or struggles under preventable issues.
Focus on Structure Before Volume
Many new chiropractors rush to fill the schedule. While patient volume is important, structure ensures that growth doesn’t create chaos.
Early Wins Come From Organization
Clear processes allow you to handle more patients without sacrificing care quality or compliance.
Get Documentation Right From Day One
Documentation habits form quickly – and bad habits are hard to break. Establish consistent note standards immediately.
Documentation Essentials
- Complete SOAP notes for every visit
- Clear medical necessity statements
- Consistent terminology and formatting
Build a Reliable Scheduling System
Scheduling should support clinical flow, not disrupt it. Appointment types, visit lengths, and buffers should be defined early.
Avoid These Early Mistakes
- Overbooking without workflow support
- Mixing visit types without time allocation
- Ignoring follow-up and re-exam scheduling
Set Billing and Payment Expectations
Financial confusion erodes trust. Patients should understand costs, coverage, and expectations before care begins.
Best Practices
- Verify benefits consistently
- Explain care plans clearly
- Document financial discussions
Train Your Team (Even If It’s Small)
Whether you have one assistant or several staff members, training ensures consistency.
Early Training Focus
- Intake procedures
- Documentation responsibilities
- Patient communication standards
FAQs
What is the biggest mistake in the first 90 days?
How soon should re-exams be scheduled?
Can systems be changed later if needed?
The first 90 days aren’t about perfection – they’re about foundation. When systems, documentation, and communication are established early, long-term success becomes far more attainable.
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