Types of surveys and intake forms you can send from ChiroUp

There are 7* surveys and 3 intake forms you are able to send to your patient's email or mobile number from ChiroUp. Are you curious about what your patients are receiving? Take a look below!

Surveys:

1) Revised Oswestry Disability Index


2) Quick DASH

3) Lower Extremity Functional Scale (LEFS)

4) Back Bournemouth Questionnaire

5) Neck Bournemouth Questionnaire

6) Neck Disability Index (NDI)

7) Outcome Tracker Post-Care Survey* (this survey is automatically sent to your patient's email 30-days after you create a condition report. You have the ability to turn the Outcome Tracker feature off)


Intake Forms:

1) Photo ID

2) Insurance Card

3) Demographics

Watch the video below to see a sample of each intake form:




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