Layout/Example #
Plan: 6 Month Corrective 24 Adjustments ($1565 Full Price)
Start Date: 4/26/2023 – 1/24
Frequency: 2xw 4wks / 1xw 8wks / EOW 8wks
Scans/X-Rays: 2 Scans 3 XRays (Cer LAT, Lum AP/LAT)
Therapies: Back on Trac 12 Visits ($605 Package Price)
Full Price: Total Full Price $2107
Discount Price: $1565 Add. Family Discount ($500)
Payment Type: $260.83/month for 6 Months.
Initials: -KMP
Copy/Paste #
💡 Copy and paste, then edit the list below to ensure to not miss anything in the patient care plan notes.
Plan: ****# Adj: ($0 Full Price)
Start Date: ****00/00/00 – 1/ Adj
Frequency: ****x/W # Weeks / xW # Weeks
Scans/ X-Rays: ****2 Scans # X-Rays (Cer AP/LAT, Tho AP/LAT, Lum AP/LAT)
Therapies: # and location ($ Package Price) CP X-Rays: Ferg, C-Mold, L-Mold
Full Price: ****$0 Total Full Price
Discount Price: ****$0 First/Additional Family at a % discount ($ Care Plan Discount)
Payment Type: ****$0.00/Month for # Months /Paid in Full
Initials: ****-
