Cash-pay chiropractic is one of the largest direct-payment specialties in healthcare. Care plan billing, multi-visit adjustment documentation, and package checkout are the core workflow — not insurance claims. Brooke handles all of it at $99 a month flat with no per-provider fees and no appointment caps.
A chiropractic patient does not come in once. A standard chiropractic care plan runs 12 visits over six weeks, or 24 visits over twelve weeks for more complex cases. The EHR for a cash-pay chiropractic practice needs to track the patient across the full care plan — not just log an isolated visit note — and handle package billing for the entire plan at intake.
Most cash-pay chiropractic practices sell care plans as packages. A 12-visit plan is priced as a single fee at the new patient evaluation — not billed per visit. The patient pays the plan fee upfront or splits it across sessions on a card on file. Brooke handles package billing, split payment, and card-on-file recurring charges at the point of care without a separate billing system.
Each chiropractic visit within the care plan requires a per-visit treatment record — spinal regions adjusted, techniques used, patient response, and any adjunctive therapies delivered. The record needs to sit inside the patient's chart alongside the full plan history, not in a separate visit log that disconnects individual sessions from the care plan context.
A chiropractic care plan has a clear structure. Brooke tracks every stage from new patient evaluation to maintenance care without requiring the chiropractor to manually link visits to the plan.
New Patient Evaluation 1 Comprehensive history, postural assessment, examination. Care plan presented. Package fee collected. All plan visits scheduled. Active Care Phase 8–18 Per-visit adjustment documentation. Regions treated, techniques used, patient response. Each visit linked to the care plan record. Re-Evaluation 1–2 Progress assessment against initial
presentation. Outcomes documented. Care plan renewed or closed. Follow-up package billing if plan continues. Plus ongoing maintenance care visits billed per-visit or as a monthly maintenance package through card on file.
Digital intake forms covering health history, chief complaint, prior chiropractic care, medications, and symptom history — sent to the new patient before the evaluation appointment. The chiropractor opens the new patient exam with a complete intake already in the chart.
Spinal region and extremity adjustment documentation per visit, with technique notation, patient response, and any adjunctive therapy records attached to each session. Every visit is logged inside the care plan record, not as a disconnected note.
All visits in the care plan are scheduled at the new patient evaluation with automated reminders before each one. A chiropractic patient who forgets to rebook after session three does not fall out of care — the reminder keeps the plan on track without a manual follow-up call from the front desk.
Package billing for the full care plan collected at the new patient evaluation. Split payment across sessions on a card on file. Per-visit checkout for maintenance care visits after the active plan is complete. All payment types in the same checkout screen at the close of each appointment.
Topical products, therapeutic supplies, and any retail products sold in the clinic tracked automatically with lot number capture and low-stock alerts. A chiropractic clinic that sells foam rollers, topical analgesics, or therapeutic supplements tracks inventory alongside patient records in the same platform.
Good faith exam templates, state-specific compliance workflows, and digital consent for chiropractic care — built into the chart. Consent forms for new patients are signed digitally before the first visit and stored with the patient record. GFE documentation for any cash-pay procedure is tamper-proof and auditable.
A chiropractic practice that sees patients for musculoskeletal conditions on a direct-payment care plan model. New patient evaluation, care plan billing at intake, per-visit adjustment documentation, and maintenance care checkout through one platform.
Athletes and active patients paying directly for chiropractic sports performance, injury management, and movement optimization care. Per-visit or care plan billing, with adjustment and soft tissue technique documentation per session.
A family-based chiropractic clinic with multiple patients per family account. One guardian billing account covering multiple family members, each with their own care plan and visit history in linked patient records.
A cash-pay chiropractic practice focused on ongoing wellness maintenance care. Monthly maintenance packages charged on a card on file with per-visit documentation for each session in the recurring care relationship.
A multi-service cash-pay practice combining chiropractic care with functional medicine, IV therapy, or nutritional programs. Care plan billing for the chiropractic side and package or per-visit billing for integrated services through the same platform.
A premium membership chiropractic practice offering unlimited or defined monthly visit access on a direct-pay retainer. Monthly card-on-file membership billing with per-visit adjustment documentation and no appointment cap limiting visit volume.
A solo chiropractor who opens a cash-pay practice on Brooke and later adds an associate chiropractor and a front desk coordinator continues to pay $99. Adding team members does not change the software bill. Brooke's price is per location, not per provider.
Most practice management platforms handle per-visit billing well and treat package care plans as an exception. Brooke handles care plan package billing as a core feature — not a workaround. The package is applied at intake, sessions are tracked against the plan, and the remaining balance is visible in the chart at every visit.
Some platforms cap monthly appointments on lower pricing tiers. A chiropractic practice that runs 200 adjustments a week does not want to upgrade just to remove an appointment limit. Brooke has no appointment caps at any price level.
Chiropractic checkout is fast. A patient who pays per visit or has a plan balance on file should check out in under 30 seconds. Tap-to-pay, card on file, and the plan balance are all in the same screen as the visit record. The chart closes when the payment runs.
What percentage of patients who enroll in a chiropractic care plan complete all the visits in the plan. A patient who drops out after four visits of a 12-visit plan received incomplete care and left unrealized revenue behind. Tracking completion rate tells the practice where patients are dropping out and whether scheduling, cost, or engagement is the factor.
What percentage of patients who complete their care plan schedule maintenance visits or a follow-up plan. For a cash-pay chiropractic practice, the rebooking rate after plan completion is the clearest indicator of whether clinical outcomes are strong enough to retain patients long term.
Which chiropractors in a multi-provider practice generate the most revenue per shift. For a chiropractic group with associate doctors, this informs scheduling decisions and capacity allocation without a separate analytics tool.
How much the average patient spends per appointment across plan payments and any retail product purchases. A chiropractic practice looking to grow average revenue per visit tracks whether product sales or plan upgrades are moving the number.
Cash-pay chiropractic practices end up evaluating the same criteria when shopping for EHR software. Here is what to check before committing to any platform.
The most common chiropractic billing scenario — selling a 12-visit plan at the new patient evaluation — should be a native feature, not a workaround. A platform that handles per-visit billing but treats care plans as an exception creates extra work at every new patient intake.
A chiropractic practice that sees 200 patients a week cannot afford a platform that caps monthly appointments on lower tiers. Caps force upgrades and add cost without adding value. Brooke has no appointment caps at any price level.
A chiropractic care plan that is fully scheduled at the new patient evaluation has significantly higher completion rates than one booked visit by visit. The EHR should support sequencing the full plan from intake, not just scheduling the next appointment.
A chiropractic practice that adds an associate doctor or a front desk coordinator should not see the software bill go up. Per-provider pricing creates a financial disincentive to hiring. Brooke charges $99 per location regardless of team size.
+ integrated payments · Per location · No contracts
No tiers. No per-provider fees. No appointment caps. No contracts.
Care plan package billing, per-visit adjustment records, series scheduling, and direct checkout — all in one platform at one flat price. Solo chiropractor or multi-provider group, the bill does not change.
No setup fee. No credit card required to start.
$99/mo · Same as always
$99/mo · Still $99. Always.
$99/mo · No per-provider fee
$99/mo · Price never changes
We switched from Aesthetic Record and never looked back. My injectors actually enjoy using it. Setup took one afternoon.
The GFE documentation alone was worth switching. Everything is compliant, auditable, and takes half the time it used to.
$99 flat. Unlimited providers. Everything works. I don't know why anyone pays $400 a month for the same features wrapped in a terrible UI.
The best EHR for a cash-pay chiropractic practice handles care plan package billing at new patient intake, per-visit adjustment documentation linked to the care plan, series scheduling with automated reminders, maintenance care recurring billing on card on file, and direct checkout — without an insurance billing workflow. Brooke provides all of this at $99 a month flat with unlimited providers, no appointment caps, and no contracts.
Yes. Chiropractic care plan packages are billed at the new patient evaluation in Brooke. The patient pays the full plan fee upfront or splits payment across sessions on a card on file. Brooke
applies the package to the treatment plan and tracks session usage automatically. The remaining plan balance is visible in the chart at every visit.
Yes. All visits in a chiropractic care plan are sequenced at the new patient evaluation using Brooke's series scheduling. Automated reminders go out before each session. A chiropractic patient who has all 12 visits scheduled on day one is significantly more likely to complete the care plan than one who rebooks session by session.
Yes. Chiropractic patients who complete an active care plan and transition to maintenance visits are billed per visit at checkout or on a recurring monthly maintenance package charged to a card on file. Both billing models run through the same Brooke checkout without a separate billing workflow for maintenance versus active care.
No. Brooke charges $99 a month per location regardless of how many chiropractors, therapists, or staff are on the platform. A solo chiropractor and a four-provider chiropractic group pay the same price.
Yes. A family chiropractic practice that sees multiple family members uses linked patient records under one guardian or family account. Billing runs through the same guardian card on file for all family members without creating a fully separate unlinked account for each patient.
No. Brooke has no contracts. Chiropractic practices pay month to month and can cancel anytime. The only thing keeping a practice on Brooke is whether the platform earns the renewal each month.
Yes. Brooke migrates patient records, intake forms, and treatment history from any current system at no cost. A chiropractic practice switching platforms does not start with an empty patient database.
$99 a month per location. Unlimited providers and staff included. No per-chiropractor fees, no appointment caps, no setup fee, and no contracts.
Yes. A cash-pay chiropractic practice that also offers functional medicine consultations, IV therapy, or supplement programs runs all service lines through Brooke. Care plan billing covers the chiropractic side. Package billing, session scheduling, and supplement inventory cover the integrated services side. One platform and one flat price for the full multi-service practice.
Care plan billing, adjustment records, series scheduling, and direct checkout in one platform at one flat price. Book a 15-minute demo or start your free trial today.
