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Explore all the solutions you can create with Paperform: surveys, quizzes, tests, payment forms, scheduling forms, and a whole lot more.
See all solutions
Connect with over 2,000 popular apps and software to improve productivity and automate workflows
See all integrations
Growing a successful chiropractic practice means delivering exceptional patient outcomes while building sustainable revenue streams. This Chiropractic Care Package Upsell Form helps you convert one-time appointments into long-term wellness partnerships by offering care packages, massage therapy bundles, and flexible payment plans—all in a seamless, professional experience.
Traditional booking systems stop at scheduling the initial appointment. But the real opportunity to improve patient health and practice revenue comes after someone commits to care. This template is designed to present value-added services at the right moment—whether that's immediately after booking, during onboarding, or as part of a follow-up campaign.
With conditional logic built in, you can personalize upsell offers based on patient needs, automate payment collection via Stripe or PayPal, and gather preferences that help you deliver a more tailored wellness experience. The form's clean, on-brand design reassures patients that they're making a smart investment in their health, not just being sold another service.
Once a patient submits their package selection, you can use Stepper to trigger your practice management workflows automatically. Send a welcome email sequence, update your CRM or booking system, assign follow-up tasks to your front desk team, and even schedule automated reminders before each appointment. This keeps your funnel moving without manual work, so you can focus on patient care instead of admin.
Whether you're a solo practitioner or managing a multi-location clinic, this template scales with your practice. Customize pricing, package details, and payment terms to match your model, then embed the form on your website, share it via email campaigns, or use it as a post-booking upsell page. With Paperform's payment integrations, everything from package selection to payment confirmation happens in one seamless experience.
Trusted by wellness providers worldwide, this template is GDPR and SOC 2 compliant, mobile-optimized, and designed to convert—so you can grow your practice while delivering the personalized care your patients deserve.