Chiropractic practices

The fractional CTO for chiropractic practices.

ChiroTouch, Jane, Genesis, CRM, recall automation, billing efficiency, AI receptionists, and chiropractic SEO — owned by one accountable partner. Stop juggling six vendors. Start running one practice.

Why chiropractors hire us

Retention is the game. Your stack isn’t built for it.

New-patient acquisition is expensive. Retention is where chiropractic practices actually make money — and most ChiroTouch and Jane setups leak care-plan completion at every step. We rebuild the patient journey so new patients become 30-visit care plans, not three-visit drop-offs.

42% Average lift in care-plan completion after recall automation
$3,200/mo Average software waste cut in first 60 days
24/7 AI phone coverage — no more missed new-patient calls
BAA Signed with every chiropractic client

The chiropractic stack we run

Five systems. One operator.

Vendor-neutral by design. If you’re on ChiroTouch, we keep ChiroTouch. If Jane suits the practice better, we’ll say so. The point isn’t the PMS — it’s making the rest of the stack actually serve it.

ChiroTouch

Full ChiroTouch deployment, custom report packs, and API/SQL integrations into your CRM, AI agents, and patient comms.

Jane App

Jane setup, intake forms, online booking, and the integrations Jane’s native automations can’t reach.

Genesis Chiropractic

Genesis configuration, reporting layers, and the missing CRM glue that turns Genesis data into actual marketing automation.

Recall & Retention

Missed-appointment recovery, care-plan completion sequences, lapsed-patient reactivation. The growth engine for any chiro practice.

Chiro AI Receptionist

24/7 inbound coverage, books new patients, answers care-plan and insurance FAQs, escalates clinical to staff.

Chiropractic SEO & AEO

Local SEO, Google Business Profile, Google Ads, Meta — and AI-citation optimization for ChatGPT and Perplexity.

Patient retention & recall

The 30-visit care plan starts with the first missed appointment.

Chiropractic isn’t transactional — it’s a relationship measured in adjustments. Every missed appointment in week three is a care plan that won’t finish in week twelve. ChiroTouch and Jane will tell you a slot is open. They won’t tell you the patient needs a text, then a call, then a re-engagement offer.

We build the multi-step recovery sequence into the stack itself, segmented by care-plan stage, payer type, and last-visit gap.

  • Same-day no-show recovery — text within 15 minutes, call within an hour, offer within a day.
  • Care-plan milestone nudges — visit 5, 10, 20 — celebration plus the next-step prompt.
  • Lapsed-patient reactivation — segmented by procedure type and last visit, drip via SMS + email.
  • Review velocity — auto-request reviews from completed-plan patients only.
  • Birthday + anniversary touches — light, human, automated.
  • Wellness package upsell — triggered when a care plan completes, not by your front desk remembering.

Real result · solo chiropractor

Care plan completion: 51% → 73%.

A solo chiropractor in Schaumburg, IL added 22 percentage points to care-plan completion within four months — entirely from the recall and milestone sequences. No new patients required.

73% Care-plan completion · up from 51% baseline

Marketing & new patient acquisition

Stop paying for clicks you can’t attribute.

Most chiros run Google Ads through a freelancer who can’t tell you which click became a patient. We close the loop end-to-end — ad spend to first adjustment to care-plan revenue.

Chiropractic SEO

Local GBP, condition-specific landing pages, schema markup, and review velocity for every neighborhood you serve.

AEO for AI search

Get cited by ChatGPT, Claude, Perplexity when prospects ask “best chiropractor near me for sciatica.”

Google Ads + Meta

Tied to your CRM. We see which keyword turned into which care plan, and shut off the ones that don’t.

Referral programs

Patient referral tracking, doctor-to-doctor referral flows, and the automation to keep both warm.

Most chiropractic practices recover the retainer in under 60 days.

The $1,500/mo retainer is usually net-positive from month one once we cut redundant subscriptions and consolidate marketing spend.

Book a free audit

How we deliver

From discovery to live in 90 days.

  1. 1

    Free chiro tech audit

    20-minute call. We learn your stack, your retention numbers, and the biggest leak in your patient journey.

  2. 2

    Paid roadmap (weeks 1–2)

    Written technology roadmap with software cuts, retention automations, and a 90-day plan. Credited toward your retainer.

  3. 3

    Stack consolidation (days 1–30)

    BAA signed. Vendor logins transferred. Redundant subscriptions cancelled. Core integrations live.

  4. 4

    Retention & recall (days 31–60)

    Missed-appointment, milestone, and lapsed-patient sequences live. AI receptionist deployed.

  5. 5

    Acquisition layer (days 61–90)

    SEO + AEO live. Paid acquisition wired to CRM. Monthly reporting to ownership.

FAQ

Questions chiros ask before signing.

Real answers to the questions practice owners ask before signing.

What chiropractic software do you support?

We support ChiroTouch, Jane, and Genesis Chiropractic as primary practice management platforms. We integrate them with CRM (GoHighLevel, Salesforce, Monday.com), patient communication tools, and AI workflows.

How much does a fractional CTO cost for a chiropractic practice?

Retainers start at $1,500/month for a single-location chiropractic practice. Most chiros recover the fee within 60 days by cutting redundant subscriptions and consolidating their marketing spend.

Can you help with chiropractic patient retention and recall automation?

Yes. Retention is the largest leverage point in a chiropractic practice. We deploy missed-appointment recovery, care-plan completion sequences, and lapsed-patient reactivation campaigns wired directly into ChiroTouch or Jane.

Do you handle chiropractic billing?

We don’t do billing ourselves but we make your biller dramatically more efficient. We automate eligibility checks, integrate clearinghouses, and deploy AI agents that flag denied or aged claims daily.

Can you build an AI receptionist for a chiropractic office?

Yes. We deploy AI voice agents that handle inbound calls 24/7, book new patients, answer FAQs about care plans and insurance, and escalate clinical questions. Built on BAA-covered infrastructure.

Are you HIPAA-compliant and will you sign a BAA?

Yes. We sign Business Associate Agreements with every chiropractic client and only deploy AI workflows on HIPAA-eligible infrastructure.

Do you handle chiropractic SEO and marketing?

Yes. Chiropractic SEO, local Google Business Profile optimization, AEO for ChatGPT/Perplexity citations, Google Ads, and Meta — all tied to your CRM so you see which channel produces actual patient visits.

Stop running six chiro vendors.

Book a 20-minute discovery call. We’ll map your chiropractic stack, name the three biggest retention leaks, and tell you whether a fractional CTO actually makes sense for your practice.