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Nervous System Form

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Sample of Completed Nerve FormMake Chiropractic About the Nervous System

Practices with lots of once-a-month regulars have something in common: they make nervous system integrity the centerpiece of their chiropractic explanations and reports.

It makes sense. Why would patients choose continued nonsymptomatic care for a bone or joint problem once the pain resolves?

The Nervous System Form helps you establish a larger context.

Connect What You Find With What They Can’t Feel

Most patients assume that if something doesn’t hurt, nothing is wrong.

Yet as you know, many organs and tissues have little or no ability to signal dysfunction with pain. Helping patients appreciate this may be one of the most important communication objectives of your report.

The Nervous System Form makes those neurological relationships visible, showing the nerves, organs and tissues associated with each segmental level.

Without a list of symptoms.
Without making disease claims.
Without making promises.

You’re simply revealing anatomical relationships most patients never knew existed—giving greater significance to what you found.

Show What Old-School Nerve Charts Can’t

Many report handouts still rely on decades-old, side-view anatomy.

Which hides something important: bilateral symmetry.

The Nervous System Form uses a posterior view so you can compare right to left and annotate scoliosis, postural distortion, vertebral rotation, or other relevant examination findings directly on the patient’s copy.

Circle the involved spinal levels. Underline the relevant organs and tissues. Draw in the patient’s postural distortions, asymmetries or vertebral rotation. If you use sEMG, print their scan on the reverse side.

The basic anatomy you may take for granted becomes a personalized explanation of your findings and their neurological significance.

When they’re asked, “So, what did the doctor say?” they can confidently explain your findings and care recommendations.

Lay the Groundwork for Wellness

Back pain and other symptoms often provide the introduction to chiropractic. But symptoms don’t have to remain the reason for chiropractic.

By connecting their spinal findings with the nervous system early on, you give patients a larger context for understanding the value of chiropractic after their presenting complaint resolves.

You’re not asking them to choose wellness care. You’re giving them the neurological premise that can make nonsymptomatic care logical later.

Make the Nervous System Visible

The Nervous System Form helps you explain neurological relationships, demonstrate bilateral symmetry and give patients a record of what you found.

Make the nervous system visible—and the centerpiece of your chiropractic explanations. (Double the impact by placing the Nervous System Wall Chart in your exam room.)

Adjustments work even better when patients upgrade their overall health. Review the Faster Relief handout at your report.

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