Examination Form

50 tear-off sheets
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Sample of Completed Examination FormExecutive Summary Practically Gives Your Report for You

This essential form keeps you on track. It guides you through the vital elements of an effective report of findings.

Simply enter their name, date and reason(s) for consulting your practice. Check the exams you conducted and the significant findings you found. List where you found the vertebral subluxation complex.

Draw any postural distortions, scoliosis, high shoulder or uneven hips you found. Fill in your care plan and home care instructions. Be sure to schedule the date of their first progress exam. Rubber stamp or sticker your practice information at the bottom.

When completed, your exam form might look like this image to the right.

You've just delivered a thorough report of findings that persuades patients.

When you're done, place it along with your other report documents, in the VIP Report Folder. Save time and give your report of findings greater impact.

Examination Report of Findings Insert Click Use Me Button for Implementation Ideas
Pad of 50
8½" X 11"

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