Pulse Wave Profile Form

of 50 forms
Buy in bulk and save

Give Patients a Greater Understanding of Their Nervous System

Use this report of finding handout to explain the results of their HRV examination findings. It's the perfect take home piece that insures that each patient understands the significance of your findings. 

Simply plot their Pulse Wave Profile heart rate variability findings and circle the relevant explanation. Easy!

Write specific lifestyle suggestions in the space provided along the bottom. Rubber stamp or laser print a sticker with your practice information in the lower right corner.

Use this explanation to move from being a back doctor to a whole body health and wellness doctor.

As Dr. David Fletcher says, "The language and the image ideas that Patient Media have used are really good. HRV is complex to report and this is a great piece that can assist. CLA chiropractors need something like this to help them focus on explaining the significance of the results."

Pulse Wave Profile Report Form
8½" by 11"
Packages of 50

The Complete Text of the Pulse Wave Profile Patient Handout

370 words
10.2 Grade reading level

Understanding Your Pulse Wave Profile Results


A sign of being inappropriately alert and vigilant. With your "engine" constantly revved up, this imbalance is common among those who are highly stressed.


This imbalance is accompanied by fatigue and exhaustion. Like a battery that no longer holds a charge, you lack the resources to deal with everyday stress.


With reduced adaptability, this imbalance is often seen in those with a compromised immune system or those with a stress-related health event.


The least healthy of the four quadrants. The nervous system is seriously impaired. There is little capacity to handle stress, growth or repair.

Pulse Wave Profiling

The Pulse Wave Profile uniquely combines heart rate variability and galvanic skin response to provide a non-invasive look into the function, balance and performance of your nervous system.

By assessing your autonomic nervous system, we're able to measure your overall health and wellness—not merely the condition of your spine.

Cardiologists, exercise physiologists and psychologists have been using these proven technologies for decades.

Photo caption: Unlike the steady beat of a metronome, constant heartbeat variability is essential for good health.

What We Measured

Your heart doesn't beat on a fixed rhythm. There are tiny variations between each beat. Small variations (measured in thousandths of a second) are good. They show your ability to handle stress, recover when sick or perform physical activities.

This data is combined with subtle changes in perspiration, changing the electrical conductance of your skin. Together, they tell us your nervous system was at rest when we conducted your test.

Photo caption: With sympathetic (left side) dominance, you're constantly exhausted, but you're not getting anywhere.

What Your Results Mean

Pulse Wave Profile results generally fall into one of four quadrants. The ideal finding is in the green box centered towards the top.

Think of the vertical axis as the level of autonomic nervous system activity. Results to the left of the vertical centerline indicate sympathetic nervous system (fight or flight) dominance. The right side indicates that the parasympathetic nervous system is stronger (rest and digest).

Photo caption: With parasympathetic (right side) dominance, your body is sluggish and wants to rest and recover.

Comments and Recommendations


© 2015 Patient Media, Inc.