Implementing the Spinal Curve and Posture Insert

	Prepare for patient use by entering the patient's name and report date at the top, along with your practice information with a high quality rubber stamp or by applying a laser printed adhesive label. Review the Posture Insert on line.

Before your report

We recommend that you fill out this Insert before your report, reviewing your annotations during the course of your report.

As appropriate for your exam findings, use a red ballpoint or roller ball pen to...

	Indicate any scoliosis
	Show a high shoulder
	Identify hip height imbalance
	Loss of proper curves
	Identify the CBP alignment points
	Use vertical line to show head tilt
	Draw the location of spondylolisthesis
	Circle TMJ joint
	Illustrate bone spur
	Arrows indicating formina occlusion
	Fill in cervical range of motion on both sides

Review these findings and their significance, making them meaningful to the patient, during the explanation of your orthopedic findings.

Posture Insert
Pkgs of 50 two-part forms
Indicate Left- or Right-Facing (shown)
8 1/2" X 11"
$15 (Discounts for four or more)