The Successful Chiro

The #1 Threat Killing Chiropractic Growth: How to Plug Your Patient Leaks Today


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In this week’s Chiropractic Deep Dive, we break down the biggest threat to chiropractic practice growth: patient leakage. Dr. Noel Lloyd teaches that even great practices lose momentum when new patients don’t show, existing patients fall out of compliance, or people drop out before their first re-exam.

We focus on the three most important leaks to fix immediately:

1️⃣ New Patient Show Rate
  • How to boost showups using:
  • The $60 reservation fee
  • WHW prescreening (“What? How long? What have you tried?”)
  • Booking visit 1 and visit 2 on the first call
  • The triple-confirmation system with a forced-choice text
2️⃣ Kept Appointment Percentage (KAP)
  • The systems that keep patients consistent:
  • Custom-fit scheduling
  • Mini re-reports with x-ray visuals
  • Weekly compliance reports
  • Full appointment mapping on day two
  • Compassionate leadership that resets commitment
3️⃣ The Re-Exam Index (REX)
  • How to stop patients from quitting before their first re-exam:
  • Table talk that forecasts the next milestone
  • Leading patients through “the mode” when pain fades
  • Practical scheduling that prevents patients from falling behind
  • Building team leadership through the DCCA book club

These three systems plug the biggest leaks and turn happy patients into long-term patients.

👉 Book a Free Strategy Call with Dr. George Birnbach — Get help installing these systems in your practice: https://myfivestar.com/work-with-us/

👉 Subscribe for More Deep Dives — Weekly, actionable chiropractic growth strategies.

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The Successful ChiroBy Noel Lloyd

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