Built for chiropractic practices

The patient-growth CRM for chiropractic practices, not another EHR.

Your EHR runs the clinical side of the practice. Charts, SOAP notes, insurance, billing. Strkr runs the growth side. New-patient conversion, wellness plan renewals, lapsed-care reactivation, workers comp and personal injury case tracking, review funnel, and the recall motion that keeps your schedule full in the shoulder weeks. One record per patient on the business side, running alongside the chart system you already picked.

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What this audience is actually dealing with

The pains that bring buyers here.

Chiropractic practices in the 1 to 5 doctor range run into a specific gap. The EHR holds the chart, the diagnosis codes, the SOAP notes, and the insurance claim. That is a clinical system and it does a clinical job well. Everything that happens before a patient becomes a chart, after they finish active care, between visits, around the wellness plan renewal, and on the review and referral side lives on a patchwork of spreadsheets, a messaging tool, a scheduling tool, an email broadcast list, and a Google review link somebody emailed around. The gaps leak revenue in predictable places. Lapsed patients never hear from the office again. Wellness plan renewals go month to month until the patient quietly drops off. New patient inquiries from the website wait until the next morning to get a call back. Personal injury and workers comp cases live in a shared drive the attorney has to be CC-ed on. The 5-star review window closes 24 hours after the patient leaves the table. The decompression consult never gets offered to the right patient at the right point in the plan. The orthotics line sits dormant on the shelf because no one has a reliable way to flag the patient who would benefit. None of these are chart problems. All of them are revenue and retention problems, and every one of them belongs in a CRM layer that most chiropractic practices never built. The practices that do build this layer tend to pull ahead of their market inside a year, not because they spend more on paid acquisition, but because they stop leaking the base they already paid to acquire. The acquisition cost of a new patient is a known number for most practices. The retention cost of a patient who finished a plan and ghosted is nearly zero, and the revenue is already sitting on the record.

Lapsed-plan reactivation

The patient who finished the care plan and ghosted.

A patient completes the initial 12-visit corrective plan, pays out, feels better, and disappears. Six months later the back is tight again. They are shopping for a chiropractor instead of calling you. A practice with a reactivation motion recovers a measurable share of these every quarter. Most practices write them off because the EHR has no concept of a lapsed relationship, only a chart that stopped getting notes.

Wellness plan renewal timing

Renewal conversations happen too late or not at all.

A wellness or maintenance plan is pure retention margin for the practice, and the renewal is a conversation that lands best 30 to 45 days before the plan expires. Practices that run that outreach as a timed cadence keep the renewal rate high. Practices that wait for the front desk to notice the lapsed plan on the schedule next week lose a slice of the base every renewal cycle.

New-patient funnel from Google and Yelp

Inquiries wait overnight for a callback.

A web form fills at 9 pm. A Google Business Profile message comes in on a Saturday. A Yelp inquiry hits during a lunch block. If the practice runs on inbound call volume with no automated first touch, the response goes out the next business morning at the earliest. Industry data on specialty practice inquiries consistently shows the leads contacted inside the first hour convert at 2 to 3x the leads contacted after 24 hours. The window is narrow and it closes fast.

Workers comp and PI case tracking

The highest-value cases live in a shared folder.

Personal injury and workers comp cases are the most profitable patients in the practice, and they are also the most operationally complex. Attorney contact, adjuster contact, case number, date of injury, treatment authorization, lien status, settlement timeline. Most practices track this on a spreadsheet that only one person updates, or on paper in a case file that lives on a desk. A CRM that models the case as a first-class record with the attorney as a related contact pays for itself on a single case.

Decompression and laser upsell timing

The ancillary service nobody prompted.

Spinal decompression, cold laser, shockwave, orthotics, massage. Each is a service line with a specific patient profile and a specific point in the care plan where the conversation lands best. Practices that run the service-line awareness as a timed prompt on the right patient add a measurable revenue line without buying more ads. Practices that leave it to whichever doctor remembers to mention it on the day leave the money on the table.

Missed-appointment follow-up

The no-show that never gets rebooked.

A patient on an active care plan misses an adjustment. The front desk is busy at the window, nobody calls, the next visit is five days later and the plan compliance drops. Over a quarter the compounding effect of ad-hoc no-show handling is one of the biggest leaks in patient retention. A CRM that fires a same-day text and a 24-hour follow-up when an EHR visit is marked missed is a basic motion the chart system was never built to run.

Review funnel

The 5-star window is 24 hours wide.

Google reviews drive local search ranking, drive new-patient inquiry volume, and set the mental anchor for the person comparing three chiropractors on a Tuesday night. The best time to ask for a review is the day of the visit, through a channel the patient will actually open. Most practices either ask nobody or ask everybody, which eventually produces the one-star review from the one unhappy patient whose complaint should have routed internally instead.

Where Strkr fits a chiropractic stack

The growth layer around your EHR.

Say this plainly up front. Strkr is not a replacement for ChiroTouch, Genesis, Chirofusion, ChiroHD, Platinum System, or any chiropractic EHR. It does not run SOAP notes, store diagnosis codes, submit claims, or hold the clinical chart. It sits around that system as the CRM, marketing, project, messaging, and growth-reporting layer. The EHR holds the chart, the business-side relationship holds everything else. Most practices run both.

Every patient is an account

One business-side record per patient.

The patient record on Strkr holds the status (new inquiry, consultation, active care, maintenance, wellness, lapsed), the referral source, the case type (cash, insurance, workers comp, personal injury), the plan details, the renewal date, the last-visit date, and the activity timeline. The EHR holds the chart. The two systems talk through the appointment event, so the pipeline advances when the clinical visit happens.

New-patient inquiry flow

First touch inside an hour, not the next morning.

A web-form submission, Google Business message, or missed-call voicemail triggers a flow that logs the inbound, drafts an outbound text and email in the practice voice, and starts a 60-minute timer. If the front desk has not reached the patient inside the window, the record escalates. The practice sees a weekly report of first-touch SLA compliance so the staffing conversation is driven by data.

Report-of-findings conversion

The ROF is a pipeline stage, not a hope.

The window between the first exam and the report-of-findings visit is where new-patient conversion is won or lost. Strkr models ROF as a stage with its own owner, timing, and conversion metric. A reminder flow fires the day before, a prep text goes out the morning of, and the stage advances when the ROF is completed in the EHR. The acceptance rate stops being an anecdote and becomes a number you can move.

Wellness plan renewal cadence

A 45-day outreach that lands before the lapse.

Every wellness or maintenance plan on the record has an expiration date. A flow fires at 60 days with a soft touch, at 45 days with the renewal conversation, and at 30 days with the booking prompt. The front desk sees a weekly list of upcoming renewals ranked by expiration date and case value. The renewal rate climbs because the conversation happens on the right week every time, without the front desk remembering.

Lapsed-patient reactivation

Dormant care plans surface automatically.

A nightly flow identifies patients with no visit in 90, 180, or 365 days and routes them into a reactivation cadence appropriate to their last care phase. A former corrective-care patient at the 6-month mark gets a different message than a wellness-plan patient at the 90-day mark. Response rates feed back into the lifetime-value model and the practice has a growth lever that was already sitting in the base.

Workers comp and PI case object

The case is a first-class record.

Workers comp and personal injury cases get their own case record with attorney, adjuster, insurance carrier, case number, date of injury, authorization status, lien amount, and settlement estimate. The attorney and adjuster are related contacts. The documents live on the record. The case timeline shows every status change. When the settlement check comes in, every related record updates in one place.

Appointment-reminder messaging

HIPAA-aware templates, not clinical content.

Native SMS and email for business-side outreach with HIPAA-aware templates. The templates are designed to avoid clinical specifics on the business lane and prompt the patient back to the EHR patient portal when the question requires a clinical answer. Consent capture per channel, keyword stop handling, and quiet-hour windows are built in. For clinical messaging, the EHR patient portal stays the lane.

Missed-appointment recovery

Same-day text, 24-hour phone, booked by week-end.

When the EHR marks a visit missed, Strkr fires a same-day text with a soft reschedule link, a 24-hour follow-up task to the front desk, and a 72-hour escalation if the patient has not responded. The reschedule rate on missed appointments climbs because the sequence is consistent. Over a quarter the compounding effect on plan compliance is one of the clearest numbers in the reporting view.

Strkr AI assist

Draft the recall text, write the review request, done.

Strkr AI drafts first-touch replies, ROF reminders, renewal outreach, reactivation messages, and weekly funnel summaries from the record history. The front desk reviews and sends. The time cost of running the growth side of the practice drops to a fraction of what it was, which matters most for owner-operator practices where the doctor is also the growth lead on nights and weekends.

The retention and growth motion

What a chiropractic CRM should do after the first adjustment.

The best chiropractic practices do not treat the CRM as a new-patient tool. They run the whole business-side relationship. Inquiry, consultation, report-of-findings, active care, wellness plan, renewal, reactivation, review generation, referral generation, service-line expansion, workers comp and PI case management. Strkr is built for that full scope because the account record stays the center and the EHR stays the chart.

Service-line expansion

The patient who did not know you offered decompression.

A corrective-care patient at the 6-week mark is often the right profile for a spinal decompression consult or a cold laser add-on. Strkr models the service lines on the patient record and runs a prompt to the doctor and the patient at the point in the care plan where the conversation lands best. Practices that run this motion see ancillary revenue climb without adding ad spend.

Referral generation

Happy patients become a measurable source.

A patient who gave a 5-star review or completed a wellness plan enters a referral-generation cadence with a one-click way to refer a family member or friend, a tracked thank-you to both sides, and a loop-back touchpoint when the referral converts. Patient-to-patient referral is often the highest-converting source a chiropractic practice has, and most practices never operationalize it.

Review funnel

The 5-star request is a flow, not a staff ask.

A post-visit flow asks the patient privately whether the visit went well. A positive answer routes to a one-click Google or Yelp prompt in the practice voice. A negative answer routes to the practice manager for a service-recovery call before the one-star review ever posts. The review count climbs, the local SEO climbs, and the service-recovery conversation happens on your side of the door.

Primary care and specialist partnerships

Referral partners are a relationship, not a form.

Local primary care offices, orthopedic groups, physical therapists, massage therapists, personal trainers. Each is a referral relationship with a quarterly touchpoint, a referral volume number, and a close rate. Strkr models the referring provider as an account, the referral as an opportunity, and the quarterly touchpoint as a flow. The partnership becomes data, which is how it grows.

Reactivation campaigns

Lapsed patients come back more often than you expect.

A patient who finished active care 9 months ago is lapsed, not lost. A seasonal reactivation campaign on a 90-day cycle, with messaging keyed to the care phase they finished, brings a measurable share of lapsed patients back every quarter. The spend is near zero. The revenue is real. The schedule in the slow weeks fills in without discounting new-patient special offers.

Intake and consent forms

Intake paperwork sent before the visit, signed on a phone.

The practice can send intake and consent forms through a DocuSign or PandaDoc integration from the Strkr record. The patient signs on a phone before the visit. The signed PDF lands on the record and routes to the clinical system where supported. The front desk stops handing a clipboard. The first-visit time compresses. The compliance paper trail is clean.

What chiropractic buyers compare on

The honest evaluation checklist.

Most "best CRM for chiropractors" articles compare feature matrices that are 90 percent identical across the top ten CRMs. The real evaluation criteria for a 1 to 5 doctor practice sit somewhere else. Here is the honest version of the checklist.

Clinical boundary

Is this an EHR or a CRM?

Strkr is the business-side CRM. New-patient inquiry, consultation, report-of-findings, active care, wellness, reactivation, referral, review, case tracking. It does not store SOAP notes, diagnosis codes, imaging, or billing. The EHR stays the system of record for care delivery. Buyers who want one tool to do both end up with a bad EHR and a worse CRM.

Time to first useful day

How many days until the front desk is using it?

Strkr: typically a week to two weeks with no implementation partner for a single-location practice. Vendor-managed engagement platforms often take a month to a quarter because the EHR integration and the hardware install are on the critical path. For a practice that just wants the growth layer online, Strkr is the fastest path to a daily-use CRM.

Admin headcount required

How many people to keep this running?

Strkr: the office manager spending a few hours a week once the initial flows are built. The automation surface is a visual canvas, not a scripting language. Field changes do not require a consultant. The CRM scales with the front desk you already have, not with an outside implementation retainer you have to add.

Three-year TCO

What this actually costs by year three.

Strkr: per-seat pricing, nearly flat as the practice grows. The CRM, Marketing, Projects, Messaging, and Docs modules are all included on every paid tier, so the common bolt-ons a practice adds in year two are already in the bundle. Legacy chiropractic engagement platforms tend to escalate on contact-tier fees, add-on modules, hardware refreshes, and support SKUs.

EHR interoperability

How does it talk to ChiroTouch, Genesis, Chirofusion?

Strkr listens to appointment and patient-created events from the EHR through webhook or native integration where supported, and pushes the business-side touchpoints back on the CRM channels. The chart never leaves the EHR. The booking record and the growth record stay on Strkr. Each system does the job it was designed for, and the practice stops double-entering patient data between tools.

Reporting flexibility

When the office manager wants a cohort report.

Strkr: cross-object reports on every paid tier, custom report builder, CSV export, scheduled email delivery. The manager can answer questions like per-provider new-patient conversion, per-source lifetime value, per-case-type collection timing, per-service-line uptake, and per-month wellness renewal rate without a BI tool bolted on.

Head-to-head

Strkr vs ChiroHD or Weave plus spreadsheets.

Most chiropractic practices in the 1 to 5 doctor range evaluate a patient-engagement tool like Weave, Solutionreach, or ChiroHD, then layer a spreadsheet on top for the renewals, the reactivation list, and the workers comp cases. The engagement tool handles the appointment reminder and the mass text. The spreadsheet handles the growth motion, poorly. Here is the honest side by side.

Feature Strkr ChiroHD or Weave plus spreadsheets (typical chiro stack)
Pricing basis Flat per seat, every paid tier gets the full product Per location, per feature add-on, often with hardware
New-patient inquiry pipeline Lead, consultation, ROF, active care as pipeline stages Appointment-centric; no pre-chart funnel modeled
Referral source attribution Structured required field plus per-source lifetime value rollup Free-text field at best; no reporting rollup
Wellness plan renewal cadence Timed 60 or 45 or 30 day flow with renewal rate report Front-desk memory or a monthly spreadsheet sort
Lapsed-patient reactivation Nightly flow by last-visit date keyed to care phase Ad-hoc mass text or email blast quarterly
Workers comp and PI case tracking First-class case record with attorney and adjuster contacts Shared drive folder or paper case file
HIPAA-aware business messaging Business lane only with consent capture and quiet hours Patient-portal messaging on the EHR integration
Review funnel Private sentiment check then routed to Google or recovery Blanket review ask with no negative-sentiment filter
Native marketing automation Included module on the same records as CRM Separate purchase or separate vendor
Intake and consent forms DocuSign or PandaDoc integration from the record Clipboard at the window or a separate form tool
Custom objects for case types Every paid tier, no admin certification Not available or vendor-managed
Reporting flexibility Cross-object custom reports, CSV export, scheduled delivery Fixed dashboards tuned to appointment reminder metrics
How teams use Strkr

Playbooks chiropractic practices run on Strkr today.

The common thread across chiropractic adopters: automate the moments where retention and revenue leak out. The after-hours inquiry, the report-of-findings reminder, the wellness renewal, the missed-appointment recovery, the lapsed-patient win-back, the workers comp case follow-through, the review funnel. Each is a small motion. In aggregate they are the difference between a practice that holds its base and a practice that leaks it.

Single-doctor cash practice

After-hours inquiry answered inside an hour.

A single-doctor cash-pay practice ran a quarterly audit and found 60 percent of web-form inquiries that landed outside business hours were going unanswered until the next afternoon or later. On Strkr, the inbound-inquiry flow logs the lead, drafts an outbound text and email, and starts a 60-minute timer with an escalation to the owner-doctor if the front desk has not responded. First-touch SLA compliance moved from around 40 percent to above 90 percent inside the first two months, and new-patient consultations booked climbed in step with it.

Three-doctor insurance and cash practice

Wellness plan renewal cadence that compounds.

A three-doctor practice with a strong wellness-plan base had a renewal rate that drifted year over year because the renewal conversation was happening the week the plan expired, or the week after. On Strkr, the renewal flow fires at 60, 45, and 30 days with messaging that shifts from soft touch to the renewal conversation to the booking prompt. The office manager works a weekly renewal list ranked by expiration date and plan value. The renewal rate climbed into the high range inside the first full renewal cycle.

Multi-doctor PI and workers comp practice

Case tracking that survives the settlement timeline.

A multi-doctor practice with heavy workers comp and personal injury volume was tracking cases on a shared spreadsheet that only one person updated reliably. Attorney contact, adjuster contact, authorization status, lien amount, settlement estimate. On Strkr, every case is a first-class record with the attorney and adjuster as related contacts. The office sees an aging-by-case-type report every Monday and the collection timeline on PI cases shortened measurably once nothing was falling off the radar between the final visit and the settlement call.

Owner-operator corrective-care practice

Reactivation on a 90-day cadence.

An owner-operator practice ran a reactivation audit and identified several hundred former corrective-care patients who had finished a plan and gone silent. On Strkr, a reactivation flow runs on a 90-day cycle with messaging keyed to the care phase the patient had completed. A former wellness-plan patient at the 6-month mark gets a different message than a corrective-care patient at the 9-month mark. The first cycle brought a measurable share of lapsed patients back on the schedule. The second cycle, running 90 days later with different messaging, added another slice without burning the list.

Multi-location family wellness practice

Review funnel that lifted the Google profile.

A two-location family wellness practice was asking for Google reviews at the end of every visit, with the predictable result that the one unhappy patient in a slow week left a one-star review that sat on the profile for a quarter. On Strkr, the post-visit flow asks a private sentiment question first. A positive answer routes to a one-click Google prompt. A negative answer routes to the practice manager for a same-day service-recovery call. The 5-star review count climbed, the one-stars stopped landing publicly, and new-patient inquiry volume followed the local-search ranking move.

The patient-growth layer your chiropractic practice has been improvising for years.

Start a 14-day trial with CRM, Marketing, Projects, Messaging, and Docs enabled from day one. Model the new-patient inquiry pipeline, the report-of-findings conversion stage, the wellness-plan renewal cadence, the lapsed-patient reactivation flow, and the workers comp and personal injury case tracking your EHR was never designed to run. The CRM layer runs alongside your chart system, so the chart stays where it belongs and the growth motion finally has a home. See transparent per-seat pricing with the full product on every paid tier.

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Common questions

What buyers in this bucket ask most.

Does Strkr replace ChiroTouch, Genesis, or Chirofusion?

No, and we would not recommend it. Strkr is the business-side and growth-side CRM layer. New-patient inquiry, consultation, report-of-findings conversion, wellness plan renewal, lapsed-patient reactivation, workers comp and personal injury case tracking, review funnel, referral generation, service-line expansion. Your EHR remains the system of record for the clinical chart, the SOAP notes, the diagnosis codes, the imaging, the claim submission, and all clinical workflow. The two systems are complementary. The EHR holds the chart. Strkr holds the business relationship. Most practices integrate the two through the appointment event, so when a visit is created or completed in the EHR, the Strkr pipeline advances without any clinical data moving between systems.

Is Strkr HIPAA-compliant?

The honest answer is that HIPAA compliance is a program a practice runs, not a product feature a vendor ships, and any vendor that claims full compliance as a single checkbox is overselling. Strkr is designed as the business-side relationship layer and ships HIPAA-aware templates and guardrails: no clinical content fields on business-facing records, templates designed to avoid clinical specifics on the business lane, prompts that route clinical questions back to the EHR patient portal, consent capture per channel, keyword stop handling, quiet-hour windows, and a complete audit trail of every business-side touchpoint. For clinical messaging and anything that requires the chart as the system of record, the EHR patient portal stays the lane. Practices with a Business Associate Agreement requirement should contact us to discuss the current scope and whether the business-side boundary fits within the existing EHR BAA framework.

How does Strkr compare to Weave, Solutionreach, or ChiroHD?

Those tools are patient-engagement and appointment-reminder platforms. Each is strong at a specific slice: Weave on front-desk phone and texting, Solutionreach on broadcast patient communication, ChiroHD on chiropractic-specific engagement features. They assume a chart already exists and run on top of the appointment schedule. Strkr is a patient-growth CRM. It starts at the lead inquiry, runs through consultation and report-of-findings conversion, holds the wellness-plan renewal cadence, runs the lapsed-patient reactivation, tracks workers comp and personal injury cases, and operates the review and referral funnel. Depending on the practice shape, Strkr sits alongside one of those tools and handles the growth layer the engagement tool does not model, or it replaces the subset the practice was using for business-side communication.

What size chiropractic practice is Strkr a good fit for?

The sweet spot is a 1 to 5 doctor practice with a growing base, a wellness-plan or maintenance-plan motion that is already generating recurring revenue, and a mix of cash, insurance, workers comp, and personal injury case types. Single-location practices are the fastest to set up, typically a week or two from signup to the front desk using Strkr daily. Two or three location groups work equally well with a shared record space and per-location filtering. Larger groups above ten doctors can run Strkr, but the configuration starts to want a dedicated admin and a longer rollout, which is a conversation worth having before signing up rather than after.

How does Strkr handle workers comp and personal injury case tracking?

Workers comp and personal injury cases get their own case record on the patient. The case holds the attorney and the adjuster as related contacts, the insurance carrier, the case number, the date of injury, the treatment authorization status, the authorized visit count, the lien amount, and the settlement estimate. The case timeline shows every status change and every related document. The office manager sees an aging-by-case-type view every Monday, with cases that have been dormant longer than a threshold surfacing automatically. When the authorization is exhausted or the settlement check comes in, every related record updates in one place, so nothing falls off the radar between the final visit and the final collection.

Can we migrate from Weave, Solutionreach, or ChiroHD to Strkr?

Yes. Strkr has import tooling for the common formats, including CSV exports from Weave, Solutionreach, ChiroHD, and the EHR-adjacent CRMs most chiropractic practices use. Patient records, custom fields, and tags map cleanly. The deeper work is rebuilding the communication cadences and the referral-source taxonomy, since those are usually where the current tool is doing partial work and leaving the growth-side motion on a spreadsheet. Most single-location practices complete the migration in two to four weeks running the two systems in parallel before cutover. Two or three location groups typically phase by location over a quarter so the office manager at each site has a hands-on week before the previous tool turns off.

Does Strkr handle intake and consent forms?

Strkr integrates with DocuSign and PandaDoc for intake and consent forms. The practice sends the forms to the patient from the Strkr record, the patient signs on a phone or a laptop before the visit, and the signed document lands back on the record. Where the EHR supports it, the signed PDF can be routed to the clinical system as a chart attachment. The practical result is that the front desk stops handing a clipboard, the first-visit time compresses, and the compliance paper trail is clean and searchable on the business-side record alongside everything else about that patient.

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