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.

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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
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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?
Ignoring systems in favor of speed or volume.
How soon should re-exams be scheduled?
Based on care plans, but typically within the first 30–45 days.
Can systems be changed later if needed?
Yes – but it’s far easier to start correctly than to retrain later.

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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