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GullySystem

Patient Case History for Chiropractic Clinics

Each chiropractic patient has one profile holding the complaint, history, past injuries and medical conditions. The doctor reads it before the first adjustment and again at every review.

What the profile holds

Presenting complaint

Where the pain is, when it began, what makes it worse and what the patient has already tried. It is noted in the patient’s own words.

Past injuries and surgery

Falls, road accidents, sports injuries and earlier operations on the spine or joints are listed with dates, so a new doctor does not start from nothing.

Medical conditions and medicines

Diabetes, blood pressure, osteoporosis and regular medicines are recorded where they matter to treatment. What matters to treatment is the doctor’s call.

Referring doctor and source

A patient may come from an orthopaedic surgeon, a physiotherapist, a friend or an online search. The source is kept for the clinic’s own records.

Who writes and who reads

Reception enters name, age, phone number, address and the reason for the visit. The chiropractor adds the history. A second chiropractor covering a leave day opens the same profile and reads the findings before the patient is seen.

Where it leads next

The case history is the first record in a patient’s file. The spinal assessment, scans and treatment plan are all attached to it, and so is every bill.

What the clinic decides

The history fields are set up with your doctors. A clinic that asks about work posture or sleeping position can add those questions. The software stores answers and does not suggest a diagnosis.

FAQ

Frequently asked questions

Can a patient’s family members be linked?

Yes. Profiles for a husband, wife or parent and child can be linked, so the front desk books them together and sees one phone number.

What happens to the old paper cards?

Active patients are keyed in or scanned at the start. Which older cards are worth adding is decided with the clinic.

Can the doctor see who edited a note?

Yes. Each entry carries the name of the user and the time it was saved.

Does it diagnose from the history?

No. It stores what the doctor records. Diagnosis stays with the chiropractor.

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