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AI for chiropractors: 10 real automations from 6 chiropractic practices
Updated October 18, 2026 · 10 sourced examples · no paid placement
Short answer: The chiropractors here mostly use AI on the work around the table: initial notes from a voice memo, personal-injury notes checked before they go to the lawyer, P&Ls read like a CFO would, weekly team updates from the project board, SOPs talked through out loud, Meta ads reviewed every week, websites and flyers made in-house, and new leads booked by text. The two multi-clinic owners who tried AI on the phones still keep people on them. In these 10 examples from 6 practices the AI is mostly Claude and ChatGPT, with Zapier, n8n and GoHighLevel doing the plumbing. Reported results include ad reviews down from about an hour a day to about 30 minutes a week, 60 to 70% of new leads scheduled by text without a conversation, and a flyer made in 90 seconds. These are what each owner reported, not promises.
Below are 10 documented examples from six chiropractic practices, from a family-owned practice in Tennessee to groups of 13 and 24 clinics, told by the owners themselves: in a handout one chiropractor published for his 2026 conference talk, and on The ChiroX Show podcast. For each: who did it, what the AI does, what they reported and where the story came from. After that: what to keep human, how these practices handle patient data, why two of them keep people on the phones, and how to try one this week.
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What these 10 businesses actually did
- Initial exam notes from a voice memo through Zapier: Life Charge Chiropractic (Gallatin and Hendersonville, Tennessee) (owner-told, via Life Charge Chiropractic: AI for Chiropractors, The Practical Playbook (Dr. Palmer Piana's handout for his Fire on the Mountain 2026 talk)). His initial-notes automation goes from a voice memo to Zapier to finished notes, with no typing. He also built a 'patient conversation recall' tool that runs locally with a rolling buffer and stores nothing: one button captures the last 30 seconds of conversation and turns it into a note. The handout doesn't name the AI model or the notes system behind either one. Reported: He lists both among the real use cases from his office; no time savings are given. His handout's rules for clinical use: never paste identifiable patient information into public models (free tiers are not HIPAA-compliant), run a model locally for sensitive work, de-identify first, and verify before acting. Self-reported. Full case
- Personal-injury notes checked by an AI agent before they go to the lawyer: Palmer Care Chiropractic (24 clinics, Sterling, Virginia) (owner-told, via The ChiroX Show: He Built 24 Chiropractic Clinics From $4 in His Pocket (Dr. Corey Malnikof)). The group built an AI agent that reads the PDF of the personal-injury notes and returns a list of what needs to be fixed before the notes go to the lawyers. Separately, it is finishing a project to auto-post EOBs (insurance explanations of benefits) from all its clearinghouses into its EHRs, with a report of what's going on and what needs to be done next. He doesn't name the tools. Reported: He calls the notes agent "so freaking cool" and expects the EOB auto-posting to "take the job of like 10 people and turn it into one" (an expectation, not a measured result). He adds that the AI phone companies the group hired had more hang-ups than good conversations, so AI doesn't answer its phones yet. Self-reported. Full case
- Every clinic's P&L read by AI as if it were the CFO: Palmer Care Chiropractic (owner-told, via The ChiroX Show: He Built 24 Chiropractic Clinics From $4 in His Pocket (Dr. Corey Malnikof)). He uploads the P&Ls to AI with a prompt along the lines of "be my CFO, go through this P&L and give me the top three things I need to change to increase my profit margins" (he credits his coach with the idea). With the help of AI the group also connected its KPIs to all 24-plus clinic P&Ls, so changing one KPI (new patients, conversion, dollars per visit or patient visit average) shows what it does to the P&L; each quarter every doctor gets one of those levers and a coaching group on it. He doesn't name the AI tool. Reported: He says you'd be amazed at what it gives you, and that the group had one of its best quarters (Q2) after the doctors started working one lever at a time. No dollar figures are given. Self-reported. Full case
- A Monday email on what the team moved in Trello, plus a Slack note for each person: Absolute Chiropractic (New Jersey) (owner-told, via The ChiroX Show: He Built a $1M Practice Doing ONE Thing (Dr. Anthony Pellegrino)). AI analyzes all the movement on the practice's Trello project board. On Monday he gets an email with what everyone is working on and who is falling behind, and each team member gets a Slack message saying what they did well and what needs to be done this week. For the SEO board, an AI agent checks each task dragged to 'needs approval' and moves it to 'needs revision' or 'task complete' with comments. The podcast doesn't say which tools run these two; he builds his other workflows with n8n and Claude. Reported: He says he never has to log into the project board itself. No time figures are given. Self-reported. Full case
- New office systems talked through out loud and returned as written SOPs: Stonebridge Health (The Colony, Texas) (owner-told, via The ChiroX Show: Why Your Conversion Rate Is Probably Lying to You (Dr. Andrew Oteo)). When the team identifies a problem and decides on a fix (the EOS issues process), he talks the new system through with ChatGPT or Claude, often by voice-to-text, and it gives back a polished PDF of the system. He also puts the notes from his quarterly team alignment meetings into ChatGPT and asks for recommendations and focus points. He'd like Claude to go on to answer new front-desk staff's questions from those SOPs, but describes that as where he wants to go, not something running yet. Reported: He says it "spits out a beautiful system". No time figures are given; patient information isn't part of this use. Self-reported. Full case
- Management questions on the drive in, plus patient and referral letters: Davis Chiropractic Health & Wellness (Grand Rapids, Minnesota) (owner-told, via The ChiroX Show: How to See 450 Patients a Week Without Burning Out (Dr. Ryan Davis)). He talks to ChatGPT on his way to work every day. It knows his business, his marketing and his management questions; he rehearses conversations he has to have, works through marketing ideas and gets feedback on decisions. He also uses it to write letters to patients and referral letters and to clean up the punctuation in emails. In the treatment room, his team is starting to use ChiroTouch's new AI subjective note, which records the visit, tells the assistant, doctor and patient apart and writes the note; he says they're still working out the kinks. Reported: He says he uses it constantly and that it gives pretty good advice; letters are quicker and easier. No time figures are given. Self-reported. Full case
- Meta ad results pulled every Sunday and reviewed by Claude: Absolute Chiropractic (owner-told, via The ChiroX Show: He Built a $1M Practice Doing ONE Thing (Dr. Anthony Pellegrino)). Every Sunday an n8n workflow pulls the performance of all his Meta ads through the Meta API, plus the practice stats tied to those ads, and sends it to Claude through its API. Claude analyzes it against the history and recommends what to scale up, scale down, keep, watch, kill and replace. With Claude's MCP connection to an n8n webhook he can reply "raise the budget from $165 to $170" and the change happens in Meta. On Thursdays it proposes which ads to kill and he answers yes or no. A second workflow transcribes each new video ad, has Claude log its hook, who's on screen and its scenes in a Google Doc, and each week matches that log with lifetime results to suggest three to five new videos for his team to film. Reported: He now looks at ads only on Sundays and Thursdays; the episode page puts it at about 30 minutes a week for an ad account that drives most of his patient flow, where his manual review used to take about an hour a day. He says the video-analysis workflow took about 10 hours to get right. Self-reported. Full case
- Practice websites, posters and social graphics made in Claude Design: Life Charge Chiropractic (owner-told, via Life Charge Chiropractic: AI for Chiropractors, The Practical Playbook (Dr. Palmer Piana's handout for his Fire on the Mountain 2026 talk)). He built the practice's websites with Claude Design, Anthropic's design tool, with no developer, agency or monthly retainer, and uses it for posters, social posts and office layout concepts, all on brand; he says he built the talk's handout flyer in 90 seconds. For writing, he keeps one 'master file' with the practice's services, hours, address, phone, booking link, brand voice and rules (and its whole website), and feeds the AI that same file every time so what it makes is accurate. Reported: Websites with no developer, agency or retainer, and a flyer in 90 seconds, in his words. No cost or traffic figures are given. He tells other chiropractors to treat the first output as a rough draft and to scrub AI tells such as em dashes everywhere. Self-reported. Full case
- The whole team on Claude, trained on the brand for on-brand flyers: Stonebridge Health (owner-told, via The ChiroX Show: Why Your Conversion Rate Is Probably Lying to You (Dr. Andrew Oteo)). The practice got Claude accounts for everyone on the team, on a plan with enough seats to qualify for a BAA (HIPAA agreement), and trained Claude on the Stonebridge brand: its colors, its logo and all the files that go with the branding. In his example, his physical therapist wants a flyer for a clay shoot, asks Claude for one to his specs, and gets it. He says they aren't using Claude for patient information yet while they wait for the green light on the BAA. Reported: He says Claude "already knows all of our stuff" and could eventually become an operating system for the business, helping with training and the creative side. No time or cost figures are given. Self-reported. Full case
- New leads booked by text with GoHighLevel's AI responder, people on the phones: Illumin8 Chiropractic (13 clinics in four states) (owner-told, via The ChiroX Show: Don't Open a Second Clinic Until You Pass This Test (Dr. Allen Miner)). His clinics use the AI text responder in GoHighLevel, which replies to new leads by text and schedules them. On the phones they keep trying AI but stay with live people, because, as he puts it, the AI is 80 to 90% there and he won't leave the last 10% to it. Reported: He says they're getting 60 to 70% of people scheduled off the text responder without having to have a conversation. Self-reported. Full case
These are each company's own results with their own tools and teams, as reported by the source. Vendor case studies are written by the company selling the tool. None of them are promises.
What do chiropractors automate with AI?
Notes and paperwork. Dr. Palmer Piana of Life Charge Chiropractic dictates a voice memo after a new-patient exam, and a Zapier workflow turns it into the initial note with no typing. Palmer Care Chiropractic, Dr. Corey Malnikof's 24-clinic group, built an AI agent that reads each set of personal-injury notes and lists what needs fixing before they go to the patient's lawyer. Malnikof says the group is also finishing a project to auto-post insurance EOBs from its clearinghouses into its EHRs, which he expects to "take the job of like 10 people and turn it into one" (an expectation, not a result yet).
The numbers. Malnikof uploads the clinics' P&Ls to AI and asks it to act as his CFO and name the top three changes that would raise profit margins. With AI's help the group also tied its KPIs (new patients, conversion, dollars per visit, patient visit average) to every clinic's P&L, gave each doctor one lever a quarter, and he says Q2 was one of its best quarters. He doesn't name the tool.
The team and its systems. Dr. Anthony Pellegrino of Absolute Chiropractic gets a Monday email on what everyone moved on the practice's Trello board and who is falling behind, and each team member gets a Slack note on what they did well and what is due this week; he says he never has to log into the board. Dr. Andrew Oteo of Stonebridge Health talks each new office system through with ChatGPT or Claude, often by voice, and gets back a written SOP he says is "a beautiful system". Dr. Ryan Davis of Davis Chiropractic Health & Wellness talks to ChatGPT on his drive in every day about management and marketing questions, rehearses conversations he has to have, and has it clean up patient and referral letters.
Marketing and ads. Pellegrino has an n8n workflow pull his Meta ad results every Sunday and send them to Claude, which recommends what to scale, cut, keep or replace; he approves each change, and the episode page puts his ad time at about 30 minutes a week, down from about an hour a day. Piana built the practice's websites in Claude Design with no agency or retainer and says he made his talk's handout flyer in 90 seconds. Oteo put his whole team on Claude and trained it on the Stonebridge brand, and in his example his physical therapist asks it for a flyer for a clay shoot and gets one on brand.
New leads. Dr. Allen Miner says GoHighLevel's AI text responder schedules 60 to 70% of new leads at his 13 Illumin8 Chiropractic clinics without a conversation.
Can AI write chiropractic notes?
It can draft them, and the owners here check them. Piana's initial-notes workflow goes from a voice memo to Zapier to a finished note, and he built a separate "patient conversation recall" button that runs locally, stores nothing and turns the last 30 seconds of conversation into a note. Davis's team is starting to use ChiroTouch's new AI subjective note, which records the visit and writes the note, and he says they are still working out the kinks. Malnikof's group uses AI the other way round: as a reviewer that lists what to fix in personal-injury notes before a lawyer sees them. None of them gives time savings for notes.
Should a chiropractor use an AI receptionist?
The two multi-clinic owners here tried AI on the phones and kept people. Miner says the AI is 80 to 90% there and he won't leave the last 10% to it, so his clinics use AI on text and live people on calls. Malnikof says the AI phone companies his group hired had more hang-ups than good conversations, so AI doesn't answer its phones yet. Both still use AI elsewhere in the business, and Miner's text responder is where his new-lead results come from.
What should stay human?
Anything clinical, and anything that changes money. Piana's handout says to verify before acting and to treat the first output as a rough draft. Pellegrino's ad workflow only recommends; he answers yes or no on Thursdays before an ad is killed, and budget changes happen when he asks for them. Malnikof's notes agent lists fixes for a person to make, and his CFO prompt gives him a list of changes, not decisions.
The phones and the hard conversations. Both Miner and Malnikof keep live people on calls. Davis uses ChatGPT to rehearse a conversation he has to have, and still has it himself.
How do these practices handle patient data?
Carefully, and some of them wait. Piana's rules for clinical use: never paste identifiable patient information into public models (he notes free tiers are not HIPAA-compliant), run a model locally for sensitive work, de-identify first, and verify before acting. Oteo put his team on a Claude plan with enough seats to qualify for a BAA (business associate agreement), and says they aren't using it for patient information until the BAA is in place. Oteo's SOP work and Davis's management questions involve no patient information. This isn't legal advice; check your own setup with whoever handles compliance for your practice.
What should chiropractors watch out for?
Setup time. Pellegrino says his video-ad analysis workflow took about 10 hours to get right, and his ad workflows run through n8n, the Meta API and Claude's API, which is billed by usage on top of a Claude plan.
Expectations reported as results. Malnikof's EOB auto-posting was still being finished when he described it, and Oteo's plan for Claude to answer new front-desk staff's questions from the SOPs is where he wants to go, not something running yet. We kept both out of the results.
AI tells in marketing. Piana tells other chiropractors to scrub giveaways such as em dashes everywhere before anything goes out. Every result above is self-reported by the owner, none of the 10 is a vendor case study, and most give no hard numbers.
Tools named in these examples
| Tool | Starting price (base plan) | Checked |
|---|---|---|
| Claude | $17/mo billed annually ($20 monthly) | 2026-10-18 |
| ChatGPT | Free $0; Go $8/mo; Plus $20/mo; Pro $100/mo | 2026-10-17 |
| Zapier | Pro $19.99/mo billed annually ($29.99 monthly) for 750 tasks; free plan with 100 tasks/mo | 2026-10-16 |
Starting prices from each vendor's pricing page on the date shown. AI phone and texting features can be priced separately from the base plan, so check before you buy. Also named in these examples: Claude Design (included with Claude), n8n, the Meta Ads API, Google Docs, Trello, Slack, GoHighLevel and ChiroTouch (prices not checked here).
How to start this week
- Pick the one job that eats your week away from the table: initial notes, note reviews before they go out, the P&L, SOPs, patient and referral letters, the weekly ad review or new-lead texts.
- Decide what can go into the AI. Strip names and anything identifying, or use a setup your practice has a BAA for, as Stonebridge Health is waiting on before it uses Claude for patient information.
- Start with Claude or ChatGPT on that one job and give it one saved file of practice context. Piana keeps a master file with services, hours, booking link, brand voice and rules and feeds it in every time.
- Keep a person approving every output before it reaches a patient, a lawyer, the chart or the ad account, the way Pellegrino answers yes or no before an ad is killed.
- Once the drafts are reliably close, connect the steps with Zapier or n8n so the voice memo, ad export or board update runs on its own.
Dictate a voice memo after a new-patient exam and let a Zapier workflow turn it into the initial note
His initial-notes automation goes from a voice memo to Zapier to finished notes, with no typing.
ZapierRun personal-injury notes through an AI agent that lists what to fix before they go to the lawyer
The group built an AI agent that reads the PDF of the personal-injury notes and returns a list of what needs to be fixed before the notes…
Quoted: Dr. Corey Malnikof, Palmer Care Chiropractic · via The ChiroX Show: He Built 24 Chiropractic Clinics From $4 in His Pocket (Dr. Corey Malnikof) · 2026-07-29Upload every clinic's P&L to AI and ask it to be your CFO
He uploads the P&Ls to AI with a prompt along the lines of "be my CFO, go through this P&L and give me the top three things I need to cha…
Quoted: Dr. Corey Malnikof, Palmer Care Chiropractic · via The ChiroX Show: He Built 24 Chiropractic Clinics From $4 in His Pocket (Dr. Corey Malnikof) · 2026-07-29Get a Monday email on what everyone on the team moved in Trello, plus a Slack note for each person
AI analyzes all the movement on the practice's Trello project board.
Talk a new office system through out loud with ChatGPT or Claude and get a written SOP back
When the team identifies a problem and decides on a fix (the EOS issues process), he talks the new system through with ChatGPT or Claude,…
ChatGPT
ClaudeTalk business problems through with ChatGPT on the drive in, and let it clean up patient letters
He talks to ChatGPT on his way to work every day.
ChatGPTCChiroTouchHave n8n pull your Meta ad results every Sunday and Claude recommend what to scale, cut or replace
Every Sunday an n8n workflow pulls the performance of all his Meta ads through the Meta API, plus the practice stats tied to those ads, a…
ClaudeNn8nMAMeta AdsBuild the practice website, posters and social graphics in Claude Design instead of paying an agency
He built the practice's websites with Claude Design, Anthropic's design tool, with no developer, agency or monthly retainer, and uses it …
ClaudeCDClaude DesignPut your whole team on Claude and teach it your brand so anyone can make an on-brand flyer
The practice got Claude accounts for everyone on the team, on a plan with enough seats to qualify for a BAA (HIPAA agreement), and traine…
ClaudeLet GoHighLevel's AI text responder book new leads by text, and keep people on the phones
His clinics use the AI text responder in GoHighLevel, which replies to new leads by text and schedules them.
Questions
How are chiropractors using AI?
In these examples: initial notes from a voice memo (Life Charge Chiropractic), personal-injury note reviews and P&L analysis (Palmer Care Chiropractic), weekly team updates from Trello and a weekly Meta ad review (Absolute Chiropractic), SOPs and on-brand flyers (Stonebridge Health), management questions and patient letters (Davis Chiropractic Health & Wellness), websites and posters (Life Charge Chiropractic) and new leads booked by text (Illumin8 Chiropractic).
What is the best AI for chiropractors?
There is no single answer in these examples. Claude shows up most (Absolute Chiropractic, Stonebridge Health, Life Charge Chiropractic), ChatGPT next (Stonebridge Health, Davis Chiropractic), with Zapier, n8n and GoHighLevel connecting the steps. ChatGPT is listed from Free $0 (Plus $20/mo), Claude Pro at $17/mo billed annually ($20 monthly) and Zapier from a free plan (Pro $19.99/mo billed annually). For anything touching patient records, use a setup covered by a BAA.
Can AI write chiropractic SOAP notes?
It can draft them. Dr. Palmer Piana turns a voice memo into the initial note through a Zapier workflow, and Dr. Ryan Davis's team is starting on ChiroTouch's AI subjective note, which he says still has kinks. Palmer Care Chiropractic uses an AI agent to review personal-injury notes before they go to the lawyer. A person still checks the note.
Is it safe to put patient information into ChatGPT?
Not on a free or consumer plan, per Dr. Palmer Piana's rules: never paste identifiable patient information into public models, de-identify first, or run a model locally. Dr. Andrew Oteo is waiting for a BAA before Stonebridge Health uses Claude for patient information. This isn't legal advice; check with whoever handles compliance for your practice.
Should a chiropractor use an AI receptionist?
The two owners here who tried it still keep people on the phones. Dr. Allen Miner says the AI is 80 to 90% there, and Dr. Corey Malnikof says the AI phone companies his group hired had more hang-ups than good conversations. Miner uses AI on text instead and says 60 to 70% of new leads get scheduled that way.
How can AI help with chiropractic marketing?
Dr. Anthony Pellegrino has Claude review his Meta ads every Sunday and recommend what to scale, cut or replace, at about 30 minutes a week per the episode page. Dr. Palmer Piana builds the practice's websites and posters in Claude Design, and Stonebridge Health trained Claude on its brand so staff can make on-brand flyers.
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