Nerve Form

$20.00
Pads:
50 tear-off sheets
Buy in bulk and save

Sample of Completed Nerve FormHow You Influence Whole-Body Health

This simple report of findings form tells the real story of chiropractic—the nervous system story! Patients see the potential neurological impact of their spinal problem in a fresh new way. 

Rather than the unsettling 1950s illustration of all the organs spilling out, we've listed the major organs and tissues connected at each segmental level. These are simple anatomical truths, uncluttered by lists of symptoms or a mishmash of hard-to-follow lines.

Since this nerve function chart features the posterior view, the result is a wonderful symmetry and balance. (Indicate postural distortions and make other annotations with a red pen.)

Identify the areas where you found subluxations. Or work from the other direction, circling every occurrence of the organ or tissue that is the focus of their primary complaint.

Do you use surface EMG? Print the patient's scans (or other diagnostic print out) on the backside!

Double the impact by using the matching nervous system wall chart in your exam room.

Nerve Form Click Use Me Button for Implementation Ideas
Pads of 50 forms
8½" X 11"

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