Chiropractic Exam Forms

With your consultation complete and the intake form reviewed with the patient, it's time to conduct a thorough physical, orthopedic and neurological exam. Guided by the relevant chiropractic exam form, you'll cover all the bases and document your exam findings quickly and effortlessly.

The Exam Credentials of Dr. Jeff Miller

The exam protocol and each examination form included in the Paperwork System represent the experience and insights of chiropractic examination expert K. Jeffrey Miller, D.C., D.A.B.C.O.

Dr. Miller received his Bachelor of Science and Doctor of Chiropractic degrees from Palmer College in 1987 and completed his postdoctoral orthopedic training through Parker College. During his 17 years of private practice, Dr. Miller has published more than 100 articles in 30 publications and is the author of five books on the subject of the patient examination.

After your purchase of the Paperwork System, you'll want to watch his video describing the recommended chiropractic exam protocols. Even the most experienced chiropractor picks up a pearl or two.

Use the Appropriate Chiropractic Exam Form

Based on the patient's presenting health issue and your examination protocol, use the the most applicable examination form(s):

General Systems Examination- Two pages
Cervical Exam – One page
Lumbosacral Exam – One page
Upper Extremity Exam - One page
Lower Extremity Exam – One page

Each chiropractic exam form (written to the 1997 CMS Evaluation and Management Documentation Guidelines) includes multiple dates of service for the initial and re-evaluation reporting for each episode of care. Better reimbursement and bulletproof accountability begin by proving the need for care with correct chiropractic examination protocols.

We recommend that you use an appropriate outcome assessment tool such as the Oswestry.

Order your set of exam forms, personalized for your practice today. Not ready to buy? Join our mailing list to receive future updates.

With your chiropractic exam complete it’s time to produce your formal diagnosis. With the complexity introduced by the migration to ICD-10, we no longer offer our Diagnosis Sheet, however you may download our free ICD-9 to ICD-10 Mapping Tool.