---
title: Chiropractic Care Package Upsell Form Template with Payment Plans | Paperform
description: Professional chiropractic upsell form for wellness packages, massage therapy bundles, and flexible payment scheduling. Boost patient lifetime value with seamless payment collection.
url: "https://paperform.co/templates/chiropractic-care-package-upsell-form"
type: static
generatedAt: "2026-03-28T00:43:18.508Z"
---

[← Back to free form templates](/templates/)    ![Chiropractic Care Package Upsell Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/chiropractic-care-package-upsell-form.png)
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### Boost Revenue with a Chiropractic Care Package Upsell Form

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.

#### Why This Template Works for Chiropractors

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.

#### What You Can Offer

 - **Wellness care packages:** Multi-visit bundles at discounted rates that encourage consistent care and better outcomes
 - **Massage therapy add-ons:** Complement chiropractic adjustments with therapeutic massage for faster recovery and relaxation
 - **Flexible payment scheduling:** Let patients choose upfront payment, installment plans, or subscription billing to remove financial friction
 - **Lifestyle and wellness coaching:** Add consultations, nutritional guidance, or posture assessments to deepen patient relationships

#### Automate the Next Steps with Stepper

Once a patient submits their package selection, you can use [Stepper](https://stepper.io) 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.

#### Built for Chiropractic Practices That Want to Grow Smarter

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.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
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