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!


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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