In this week’s Chiropractic Deep Dive, we break down the biggest threat to chiropractic practice growth: patient leakage. Dr. Noel Lloyd teaches that even great practices lose momentum when new patients don’t show, existing patients fall out of compliance, or people drop out before their first re-exam.

We focus on the three most important leaks to fix immediately:

1️⃣ New Patient Show Rate

How to boost showups using:
The $60 reservation fee
WHW prescreening (“What? How long? What have you tried?”)
Booking visit 1 and visit 2 on the first call
The triple-confirmation system with a forced-choice text

2️⃣ Kept Appointment Percentage (KAP)

The systems that keep patients consistent:
Custom-fit scheduling
Mini re-reports with x-ray visuals
Weekly compliance reports
Full appointment mapping on day two
Compassionate leadership that resets commitment

3️⃣ The Re-Exam Index (REX)

How to stop patients from quitting before their first re-exam:
Table talk that forecasts the next milestone
Leading patients through “the mode” when pain fades
Practical scheduling that prevents patients from falling behind
Building team leadership through the DCCA book club

These three systems plug the biggest leaks and turn happy patients into long-term patients.

👉 Book a Free Strategy Call with Dr. George Birnbach — Get help installing these systems in your practice: https://myfivestar.com/work-with-us/

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The #1 Threat Killing Chiropractic Growth: How to Plug Your Patient Leaks Today

The Successful Chiro

The #1 Threat Killing Chiropractic Growth: How to Plug Your Patient Leaks Today