Starting a Chiropractic Practice Checklist (That Won’t Leave You Broke or Burned Out)

September 28, 2025
Topics: Chiropractor
Written by: Lisa Rasmussen

So You Wanna Start a Chiropractic Practice?

Cool. But are you starting a business — or just buying yourself a really stressful job?

You can have the best table, killer technique, and a logo that slaps…
But if your cash flow sucks and you’re living on new patient consults and insurance scraps,
you’re not building freedom — you’re building frustration.

Now imagine this:
Instead of begging Blue Cross to pay you in 90 days…
You wake up to automatic, predictable income from patients who want to keep seeing you.

Let’s build that kind of practice.

This isn’t your average “starting a chiropractic practice checklist” — this is the real stuff.
The part they don’t teach in school, but you’ll wish they did.


THE STORY: From Clueless to Crushing It with Membership Revenue

Let’s talk about Dr. Marcus — a fresh grad who launched his practice in Denver.

✅ He had the training
✅ He had the table
✅ He had the Instagram

❌ What he didn’t have was predictable cash flow.

He was grinding for every new patient.
Chasing insurance claims.
Living appointment-to-appointment.

Then he found BoomCloud™, launched a simple $89/mo wellness membership, and everything changed.

Here’s what happened after just 6 months:

Metric Before BoomCloud™ After 6 Months
Revenue per Patient $142 $394
Active Members 0 147
Monthly Recurring Revenue (MRR) $0 $13,083
Annual Recurring Revenue (ARR) $0 $156,996

He called it his Chiro VIP Club — patients loved the simplicity, and he loved the freedom.


You Don’t Need More Patients, You Need Better Revenue Per Patient

Here’s the big lie:
“You just need to get 20 new patients a month to grow.”

Nah. That’s the churn-and-burn model.
You don’t need more patients — you need loyal ones who pay you every month.

Here’s what a smart membership model does for your practice:

  • ✅ Increases LTV (Lifetime Value)

  • ✅ Improves compliance and retention

  • ✅ Builds a predictable revenue engine

  • ✅ Helps patients afford care without the insurance BS

  • ✅ Turns your office into a wellness lifestyle, not a one-off fix

Stat: Membership patients spend 2–4X more per year than non-members, per BoomCloud™ data.


️ The Ultimate “Starting a Chiropractic Practice” Checklist (2025 Edition)

Now let’s actually get to that checklist… but with real-world insight baked in.

1. Clarify Your Vision

Don’t just open an office. Craft a business model.
Do you want high-volume? Cash-only? Boutique wellness? Mobile?
Define what success looks like before you start spending money.


2. Find Your Location

Make sure it’s visible, accessible, and full of your ideal patient demographic.
☕ Bonus tip: Find spots near gyms, yoga studios, or healthy restaurants = built-in referral machine.


‍⚕️ 3. Get Licensed + Legal

✔️ State chiropractic license
✔️ Malpractice insurance
✔️ Business entity setup (LLC or S-Corp usually)
✔️ NPI number
✔️ HIPAA compliance system
Don’t skip this — trust me, lawyers are more expensive after the fact.


️ 4. Set Up Your Tech Stack

  • EHR system (Jane, ChiroTouch, etc.)

  • BoomCloud™ for memberships + payments

  • VoIP phone + call tracking

  • ️ Website + online booking

  • Google Analytics + SEO setup

Pro tip: Integrate BoomCloud™ with your EHR so your memberships auto-sync to patient records.


5. Create Your Membership Plans (yes, now)

Before you even open your doors, launch your membership offer.

Here’s why:

  • Builds buzz

  • Creates pre-launch revenue

  • Converts your first few patients into long-term fans

  • Helps you break free from the insurance game before you’re trapped in it

BoomCloud™ makes this dead simple — no tech skills required.


6. Launch With an Irresistible Offer

You don’t need 15 funnels and a $5k ad spend.
You need a killer offer people talk about.

Example launch offer:

Founding Member Deal:
50% off first month, locked-in rate forever.
✅ Includes 2 adjustments + wellness perks.
Only 20 spots. First come, first served.

Scarcity + urgency + value = new patient stampede


7. Track Revenue per Patient — Not Just Visits

If you want to grow, stop obsessing over visits.
Start optimizing your Revenue Per Patient (RPP).

Goal: Get RPP over $300/month using membership + add-ons.

Here’s how membership boosts RPP:

Predictable income
More frequent visits
️ Add-on services (soft tissue, laser, shockwave, supplements)
Loyalty → referrals → low churn


8. Use BoomCloud™ to Automate the Boring Stuff

Here’s what BoomCloud™ handles so you can focus on healing humans:

  • ✅ Recurring billing

  • ✅ Email & text reminders

  • ✅ Failed payment recovery

  • ✅ Membership analytics (MRR, ARR, churn)

  • ✅ HIPAA-compliant contracts & documents

  • ✅ Multiple plan options (family, student, senior, etc.)

BoomCloudApps.com = your back-end business brain


9. Create a Patient Experience That’s Share-Worthy

✨ Think more “Apple store” and less “waiting room purgatory.”
Tips:

  • Chill music

  • Branded water bottles

  • iPad check-ins

  • “Wall of Fame” for members

  • Referral bonuses

Your vibe = your brand.


10. SEO + Local Marketing for Chiropractors

Use long-tail keywords to get found by the right patients.

Keyword to target: starting a chiropractic practice checklist
Also target:

  • how to open a chiropractic clinic

  • chiropractic business startup plan

  • cash-based chiropractic startup tips

Post blog content weekly and build backlinks (local directories, podcasts, partnerships).

Use RankMath or Yoast.
Keep keyword density around 1–2%.
Add alt text, subheadings, and internal links like a pro.


Ready to Build Recurring Revenue from Day 1?

BoomCloud™ is used by thousands of chiropractic practices to:

  • Build patient loyalty

  • Automate billing

  • Generate consistent monthly income

  • Scale without the stress of insurance

Schedule a Demo
Start Your FREE BoomCloud™ Account

This isn’t “software” — this is your business growth weapon.


The Real Checklist You Didn’t Know You Needed

Here’s the membership-powered version of a smart startup:

✅ Define your business model
✅ Pick a growth-focused location
✅ Handle legal & compliance
✅ Launch with memberships baked in
✅ Track Revenue Per Patient (not visits)
✅ Automate revenue + billing with BoomCloud™
✅ Focus on SEO + local content
✅ Deliver a 5-star patient experience
✅ Keep it fun, human, and high-value


BONUS RESOURCES (Grab These Before You Forget)

My Top Podcasts

How Smart Practice Owners Attract, Retain & Create Recurring Revenue

Get the book that’s helping over 65,000  practices ditch insurance, boost cash flow, and create financial freedom with a patient membership program.

Membership Plans For Optometrists

vision-membership-plan-ebook Creating a patient membership plan is the smartest strategy to implement in your practice. You will increase patient satisfaction & loyalty, Increase predictable recurring revenue & increase sales!

Fire The PPOs!

Say goodbye to PPOs and hello to a thriving, independent dental practice. Don’t miss out – your journey to financial freedom starts here!

Subscribe to Our Podcasts!

Jordon Comstock

Author Bio

Jordon Comstock is the Founder & CEO of BoomCloud™, a software that allows practice, clinic & spa owners to build, manage and scale a membership program. This helps practice & clinic owners to create recurring revenue & improve loyalty via membership programs. Jordon is passionate about Music, Hawaii, Healthcare businesses like: dentistry, optometry, med spas and massage spas. Schedule a demo of BoomCloud™ and learn how membership programs can improve your business. Here are more dental books to improve your practice

Calculate Your Potential

with BoomCloud™

Recurring Revenue Growth Calculator

Discover the revenue potential of your practice’s membership plans. This calculator helps you project growth by analyzing key factors like patient volume, plan pricing, and service utilization. See how implementing a custom plan can boost your bottom line.

Revenue Calculator

 PPO Loss Calculator – How Much are YOU Losing?

Calculate the hidden costs of relying on traditional PPO plans. Our PPO Loss Calculator reveals the revenue you could be missing out on and helps you strategize for greater profitability with a membership-based model.

PPO Loss Calculator