Before Your Report of Findings

1. Select the Inserts you’ll be using with the patient:

Exam Insert—This helps to organize your report.
Spinal Decay Insert— "Phase place" the patient’s X-rays.
Spinal Curve Insert—Record patient’s postural distortions
Nervous System Insert—Link the spine to the nervous system.
Recovery Insert—Consequences of discontinuing care.

2. Prepare the VIP Folder and Inserts you’ll be using.

Select rack brochures relevant to the patient’s problem.
Rubber stamp the office address on flap between die cuts.
Insert business cards into die cuts provided.
Circle the words on back panel of the VIP Folder relevant to case.
Add patient’s name on the upper right edge of the folder.

3. Collect any other documents to include in the VIP Folder.

Practice polices
Report narratives
EMG printouts
Exercise, stretching or home care procedures
Doctor biography

4. Select the strategy you’ll use:

Strategy 1. (Recommended) Fill out the selected Inserts before the report, adding the patient’s name, report date and stamping the office information in the areas provided. Use a red ballpoint or "roller ball" pen to make the appropriate entries on the Inserts which are reviewed during the report. Or,

Strategy 2. Add the patient’s name, date and office information in advance of your report and fill out the selected Inserts during the report using a red ballpoint or "roller ball" pen to make the appropriate entries. Your report becomes the process of discussing and making entries to the selected Inserts.

Listen to a sample report using the VIP Reporting System.

Suggested Scripting

(In this example, the patient’s name has been added to the upper right corner of the VIP Folder. A sticker with the office information has been applied to the inside flap between the business card die cuts, two business cards have been inserted covering the sticker, two brochures (Headaches and Whiplash) have been woven through the two horizontal flap die cuts, the

inserts to be used during the report have had the patient’s name, date and office information added, along with all appropriate entries and notations (except the Spinal Decay insert which is completed during the report). The back panel of the VIP Folder has three terms circled with a red pen: Cervical, Facilitative Lesion and Whiplash. X-rays are mounted on the viewbox with the light off and any anatomical models or other visual aids are within easy reach. The doctor greets the patient and refers to the VIP Folder.)

"I’ve spent some time correlating what we found at your examination and I’ve put it into a package that I’m going to send home with you so you’ll know what we found and what we’re going to do to help you."

(The doctor opens the VIP folder and refers to the four pictures and associated terms on the inside cover)

"In the next 10 minutes or so I’m going to review what we found during your examination, explain what these findings mean, recommend some action steps to help you and discuss the results you can expect from your chiropractic care in our office. Feel free to ask any questions you may have as we go along."

(Removing all the documents from behind the flap, isolating the EXAM Insert and reviewing the entries made in the "Presenting health complaint(s) section.)

Examination Insert:
"First a quick review. You came into our office suffering from frequent headaches, shoulder pain and occasional numbness in your right hand. As I explained, we have had excellent results with these sorts of problems. To locate the specific cause

of your presenting health complaints, we conducted a thorough examination."

(Review the check marks in the "What we tested" section, explaining why or why not the exam was conducted and any positive findings. Review both columns and then refer to any related inserts, such as the Spinal Curve, Nervous System or Spinal Decay inserts, returning to the Examination Insert to complete your report.)

Spinal Curve and Posture insert:
"One of the first things I noticed, and what others notice first about you, is your posture. Here’s what we found." (Explain any notations you’ve made such as a scoliosis, loss of curve, uneven shoulders, etc.

When completed, remove the bottom copy for your files and place the patient’s copy in a pile to be later inserted in their VIP Folder.)

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