Does the patient have at least 2 lifestyle goals?
Did the patient say surgery is not how they want to be treated?
Does the patient understand the result of inaction?
Did the provider explain the condition and the value of starting today?
Does the patient believe QC Kinetix is their best option?
Does the patient agree QC Kinetix is the best option?
Preferred form of payment
Finance company used
Financing terms
Reason for not starting treatment
Frequently Asked Questions [""]
Objections [""]
Protocol
Recommended Protocol
Handoff with Patient
Which exam maneuvers were used?
Was ultrasound used?
If no ultrasound, why not?
What body area are we treating today? BL Knees
Are there any other areas you want the provider to take a look at today? L knee is bother them also
Have you been recommended for surgery? true
Is that something you are planning on exploring? false
Are there any other routes you are exploring for the treatment of your condition? Chiro PT
Tell me about your condition history and how it’s affecting you.
What is your reported pain level? 10
Where is your pain level today? 6
Is your sleep affected by the pain?
Tell me more about how your sleep is affected.
What are your lifestyle goals?
How is your condition affecting your ability to meet that goal?
What have you been using to manage the pain?
Have you had a steroid injection?
Describe your experience with steroid use.
How do you feel about surgery as a recommendation?
Provider has confirmed contraindications from the welcome packet.
If it came to that, is that a route you would be willing to go? false
What do you know about regenerative medicine? Not much, friend had PRP
Do you have a specific number you were hoping to stay around for treatment? 5000