The Three “Rs” of a Successful Chiropractic Practice: Reactivations, Retention, and Referrals

As chiropractors, we are dedicated to improving the health and wellness of our patients. However, the success of our practice relies not only on our clinical skills but also on our ability to manage and grow our practice effectively. At Breakthrough Coaching, we emphasize the importance of the three “Rs”: Reactivations, Retention, and Referrals. These core elements are essential for maintaining a thriving practice and ensuring long-term success. Let’s delve into each of these key components and explore how you can integrate them into your practice management strategy.

Reactivations: Reconnecting with Past Patients

Reactivating past patients is an often overlooked but vital aspect of practice growth. Patients may discontinue care for various reasons, but this doesn’t mean they are lost forever. By implementing a structured reactivation plan, you can bring these patients back into your practice.

  1. Stay in Touch: Regularly communicate with past patients through newsletters, email campaigns, and social media. Share valuable health tips, updates about your practice, and success stories.
  2. Personalized Outreach: Reach out personally to patients who haven’t visited in a while. A simple phone call or personalized email can make a significant difference. Show genuine concern for their well-being and invite them back for a check-up.
  3. Special Offers: Offer incentives such as discounted re-examinations or special promotions to encourage past patients to return. Highlight the benefits of regular chiropractic care and how it can help them achieve their health goals.

Retention: Building Long-Term Relationships

Retention is the cornerstone of a successful chiropractic practice. Building strong, long-term relationships with your patients not only ensures consistent revenue but also enhances patient satisfaction and outcomes.

  1. Exceptional Care: Deliver high-quality, personalized care that addresses the unique needs of each patient. Stay updated with the latest chiropractic techniques and continue your professional development to provide the best possible care.
  2. Patient Education: Educate your patients about the importance of ongoing chiropractic care. Provide resources such as brochures, workshops, and one-on-one consultations to help them understand how regular visits can improve their health and prevent future issues.
  3. Consistent Communication: Maintain regular communication with your patients. Follow up after appointments, send birthday and holiday greetings, and keep them informed about any new services or changes in your practice.

Referrals: Turning Patients into Advocates

Referrals are a powerful way to grow your practice. When your patients are satisfied with their care, they are likely to recommend your services to friends and family. Encourage and facilitate this process to expand your patient base.

  1. Ask for Referrals: Don’t be afraid to ask your satisfied patients for referrals. Let them know that you are accepting new patients and would appreciate their recommendations.
  2. Referral Programs: Implement a referral program that rewards patients for referring others to your practice. This could include discounts on services, free adjustments, or other incentives.
  3. Create a Referral-Friendly Environment: Make it easy for patients to refer others by providing referral cards, sharing your contact information, and encouraging online reviews and testimonials.


By focusing on Reactivations, Retention, and Referrals, you can create a robust and successful chiropractic practice. These three “Rs” not only help you maintain a steady stream of patients but also enhance the overall patient experience and satisfaction. At Breakthrough Coaching, we are committed to helping you implement these strategies effectively, ensuring your practice thrives and continues to make a positive impact on your community.

Embrace the three “Rs” and watch your practice flourish!

Dr. Mark Sanna
CEO, Breakthrough Coaching




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.

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