Massage Therapy Conversion Form

This form is used to document Manual Therapy and can also be used as a conversion tool for massage therapists.

ICD-9 to ICD-10 GEMs Mapping Tool

This ICD-10 GEMs crosswalk reference contains the most frequently used ICD-9 codes in chiropractic practices. In an Excel format, it allows you to quickly and easily search for your favorite ICD-9 codes and match them with the new ICD-10 format.

DC Daily S.O.A.P. Notes

This comprehensive SOAP note allows doctors to quickly document patient visits and let them focus more on the patient. It includes the 3 items most commonly asked for in a post-payment audit. Consider it audit protection.

HIPAA Business Associates Agreement

This customizable form is a HIPAA requirement. It shields your practice from liability in the case of a breach of Protected Health Information (PHI) by your Business Associates.

Sample Notice of HIPAA Privacy Practices & Receipt Acknowledgment

These forms MUST be used for your practice to be HIPAA Compliant. Don't get caught in a HIPAA audit without providing these forms to your patients.

Staff Office Policy incl. Internet, Texting & Social Media

A written Office Policy is a must have to help implement a consistent approach to staff management. From a legal perspective, policies can be a fine tool in reducing perceptions of arbitrary treatment of employees.

Functional Capacities Evaluation & References

Use this form to document your Functional Capacities Evaluation. This battery of tests are safe, inexpensive, time efficient, reliable, and comparable to normative databases. Use it to set and track the progress of functional treatment goals.

Rehab Therapy Evaluation Form

Use this rehab therapy evaluation form to simplify assessment of commonly seen muscle imbalance patterns manifesting in abnormal posture.

Patient Payment Plan Worksheet

Use these tools to create a legal and compliant payment plan for your patients. This worksheet blends insurance, cash and wellness visits into a payment plan that can fit into every patient's budget.



As a leader in the Chiropractic profession, BTC has been extremely selective in forming its group of alliance partnerships. We encourage you to visit our partner's websites and to utilize their services and products. When you become a Member of Breakthrough Coaching you become part of a special "family" unlike any other in the Chiropractic Profession.