🚀 DocRepute is in early access — free to startGet early access →
✨ Early access — free to start

Chiropractic patient intake software that asks how the injury happened first

A collision, a lifting injury at work and a fall at home each pull in different paperwork and different people outside your office. DocRepute collects the right set before the patient walks in. Free to start, HIPAA-focused, and in early access now.

D
M
R
S
Join healthcare practices on the waitlist

Same low back, three completely different files

Three new patients call on the same Tuesday, all with low back pain. One slipped on ice on their own driveway. One was rear-ended at a stoplight. One lifted a pallet wrong at a warehouse. Clinically your examination may start in a similar place for all three. Administratively they are three unrelated files, and what decides which file a patient lands in is not the pain — it is how the injury happened. The driveway patient needs a straightforward history and a health plan on record. The collision patient needs a date of loss, the circumstances of the crash, whether an ambulance or an emergency department was involved, an insurer and claim number, and often an attorney already acting for them. The warehouse patient needs an employer, the date the injury was reported, the adjuster handling it and the authorized treating provider. Ask all three the same open question and all three write the same four words: back pain, three weeks. Your front desk then spends the first appointment on hold instead of at the desk. That is the specific job chiropractic patient intake software should be doing, and most of it is not: put the mechanism of injury first, and open the right set of fields behind the answer.

  • Built for HIPAA-compliant workflows

  • Free to start — 50 patient actions each month

What actually changes at the front desk

The appointment is still booked wherever you book it now. DocRepute picks the patient up from there and sends them a link, so chiropractic intake forms get completed on a phone at home rather than on a clipboard in your reception. Acute low back patients often book the same day they search, so the form has to be finishable in a few minutes on a small screen — which is exactly why the injury question comes first and everything else follows from it. The collision patient sees claim, adjuster and attorney fields. The work injury patient sees employer, reporting date and case fields. The patient who fell at home sees neither and is done sooner, which is its own kind of kindness. What reaches your desk is a structured, legible record rather than a scan of somebody else's handwriting, with the administrative gaps visible while there is still time to close them. Everything on it is administrative detail and patient-reported history. The examination, the findings, the decision about whether care is appropriate and the plan itself stay entirely with the chiropractor.

A two-chiropractor office, one afternoon of setup

Picture a two-chiropractor office in a suburban strip mall: two adjusting rooms, a chiropractor in each, a front desk lead who doubles as the practice manager, and a massage therapist three days a week. Roughly a quarter of their new patients come from motor vehicle collisions. The old routine was identical every time: the patient arrived in pain, worked through an eight-page packet at the counter, and the practice manager then spent the next two days chasing a claim number, an adjuster extension and a fax number for records. She rebuilds it in an afternoon. The first question becomes how did this start, with three answers. Under collision she adds date of loss, seating position, whether an ambulance or emergency department was involved, insurer, claim number, adjuster and whether an attorney is already involved. Under work injury she adds employer, who was notified, the date it was reported and the adjuster. Under everything else she adds nothing at all, because the fastest form is the one that stops asking. She marks the claim number optional with a helper line explaining where to find it, since patients rarely have it on day one. The chasing does not vanish. It starts two days earlier, from a record that is already half filled in, and the patient who forgets the link entirely is handed a tablet at the counter and completes the same form.

If what you need this week is the form itself

A fair number of people searching for chiropractic patient intake software really need a usable form by Thursday morning. That is a different job and it has its own page, which does it better than this one could. The chiropractic intake form template opens as an editable preset with the fields already in place, prints on US Letter, and downloads as a PDF without an account or an email wall — rename it, rewrite any question or helper line, add, reorder or remove sections, and take away the version you built rather than the one we shipped. If the document you need is a general one, the template library covers new patient intake, medical history, records release and referral paperwork, and the free healthcare form builder starts a blank one from scratch. Those pages are the shortest route to something printable today. This page is about what happens next: the same questions asked before the visit instead of during it, answered once, and joined up with the survey and the review invitation that follow.

Feedback that knows visit one from visit twelve

Chiropractic is one of the few specialties where a patient may be seen a dozen times in six weeks, and that makes the timing of a survey matter as much as the wording. Ask after the first appointment and you learn about parking, the wait and whether the doctor explained what was happening. Ask the same patient after a course of care and you learn something else entirely: whether the plan was explained, whether the visit frequency felt justified, whether they understood why they were asked to come back on Thursday. Patient surveys in DocRepute are yours to write and yours to schedule, so the practice decides which point in a course of care triggers which survey. Structured questions come back structured, and open questions come back in the patient's own words. On the free tier a survey uses one of your 50 monthly action credits only when a patient actually completes it — writing, editing and publishing surveys costs nothing. Paid plans add conversational surveys, where a patient talks through the visit with a practice-approved agent instead of tapping through a list, and sentiment and topic analysis that groups all that free text into themes a busy team can work through in ten minutes.

Neutral review requests, identical for everybody

Local search decides a great deal for a chiropractic practice, because most people looking for one start with a map and a set of star ratings. DocRepute helps you ask, and it asks the same way every time. Neutral review requests go to every eligible patient on identical terms, regardless of the score they gave on a survey, the sentiment of what they wrote, which topics came up or what anybody on your team thought of the visit. Nothing is filtered, gated, suppressed, incentivized or posted on a patient's behalf, and private survey text is never lifted into a public review. That is a design decision rather than a missing feature. Review platforms treat sentiment-based filtering as a serious violation, and a practice that never built its reputation on a gate has nothing to unwind when the rules tighten again. The two workflows still connect the way you would want: a patient who has just finished a survey can move straight to an optional Google review invitation, and the private feedback stays private while the public invitation stays neutral.

What DocRepute is, what is coming, and what it will never be

Plainly: DocRepute is not an EHR, not a practice-management system and not a billing platform. It writes and stores no SOAP notes, schedules no appointments, submits no claims and verifies no benefits, and it is built for human chiropractic practices rather than veterinary ones. It makes no diagnosis, no triage decision and no treatment recommendation, and nothing on an intake form decides whether a patient is a suitable candidate for chiropractic care — that judgement belongs to the licensed chiropractor with the patient in the room. What it is, is a focused patient-experience layer that runs alongside whatever you already pay for, which is precisely why it is quick to try and nothing to migrate. Where things stand: DocRepute is pre-launch and in early-access validation. Digital intake, patient surveys and neutral review requests are the planned core; AI intake, conversational surveys and sentiment analysis are the planned paid layer; native messaging for intake invitations, survey links and review requests is on the roadmap. The free tier is 50 action credits a month, spent only when a patient completes a regular intake submission or a standard survey, with no AI included. DocRepute is HIPAA-focused and built for HIPAA-compliant workflows, with BAA availability planned at launch. Have your own attorney review any consent or financial policy wording you add, since that varies by state.

Explore Related Resources

Chiropractic intake form template

Digital patient intake workflow

Patient survey workflows

Neutral Google review requests

Free healthcare form builder

Full healthcare form template library

Get early access

Be first to use DocRepute when it launches — including AI intake and conversational surveys on paid plans.

  • Free to start — 50 action credits a month
  • Building and publishing forms uses none of them
  • No card, and no sales call booked

No spam, ever. Unsubscribe anytime.

Frequently Asked Questions

It moves new-patient paperwork off the counter and in front of the patient before they arrive, and it shapes the questions around how the injury happened. In chiropractic that matters more than in most specialties, because a collision, a work injury and a fall at home each pull in a different administrative set — date of loss, claim number, adjuster, employer, and sometimes an attorney already acting. Good software collects the right set from each patient, hands the front desk a structured legible record instead of a clipboard, and then connects the same patient to a post-visit survey and, if eligible, a neutral Google review invitation. It does not examine, diagnose or plan care.

View raw text version for AI/LLMs