Regular Chiropractic Visit

Standard Consultation Subjective Report [describe patient's reported issues, symptoms, and reasons for visit] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in bullet points with "-".) Posture [describe patient's posture and any related observations] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in bullet points with "-".) Cervical (Neck) ROM [describe cervical range of motion and any related observations] (Write in bullet points with "-". If cervical range of motion not explicitly mentioned in transcript, context or clinical note, record as "Full and pain-free.") Lumbar (Lower Back) ROM [describe lumbar range of motion and any related observations] (Write in bullet points with "-". If lumbar range of motion not explicitly mentioned in transcript, context or clinical note, record as "Full and pain-free.") Other ROM [describe other body parts range of motion and any related observations] (Write in bullet points with "-", only include if explicitly mentioned in transcript, context or clinical note, omit.) Objective Assessment Reflexes: [describe reflexes and any related observations] (Write in bullet points with "-", if not explicitly mentioned in transcript, context or clinical note, record as "No abnormalities detected.") Orthopaedic Tests: [describe orthopedic tests performed and any related observations] (Write in bullet points with "-", if not explicitly mentioned in transcript, context or clinical note, record as "No abnormalities detected.") Neurological Tests: [describe neurological tests or nerve system tests performed and any related observations] (Write in bullet points with "-", if not explicitly mentioned in transcript, context or clinical note, record as "No abnormalities detected.") Functional Tests: [describe functional tests, tight muscles performed and any related observations] (Write in bullet points with "-", if not explicitly mentioned in transcript, context or clinical note, record as "No abnormalities detected.") Findings: [summarise findings] (Write in bullet points with "-", if not explicitly mentioned in transcript, context or clinical note, record as "No abnormalities detected.") Diagnosis: [describe the working diagnosis, associated and complicating factors, other potential diagnoses, prognosis and likely outcomes] (Write in bullet points with "-", if not explicitly mentioned in transcript, context or clinical note, record as "Multi-level Neuro-Muscular-Skeletal Dysfunction (Vertebral Subluxation) with associated Myofascial Pain Syndromes.") Treatment Adjustments [describe adjustments made during the session] (Write in bullet points with "-", if not explicitly mentioned in transcript, context or clinical note, record as "No abnormalities detected.") Verbal consent provided to proceed with current chiropractic management plan & appropriate chiropractic intervention C- [describe cervical spine or neck adjustments including spinal level and type of technique which can include supine lateral push, prone combo move, seated lateral push, drop piece, activator and any related observations] (Write in bullet points with "-", if not explicitly mentioned in transcript, context or clinical note, record as "Lateral push.") T- [describe thoracic spine or mid back adjustments including spinal level and type of technique which can include anterior manual, P-A push, drop piece, activator, combo, scissor, posture correction techniques and any related observations including level and technique] (Write in bullet points with "-", if not explicitly mentioned in transcript, context or clinical note, record as "Anterior thoracic mobilisation.") L- [describe lumbar spine or lower back adjustments including spinal level and type of technique which can include manual side posture, blocks, drop piece, activator techniques and any related observations] (Write in bullet points with "-", if not explicitly mentioned in transcript, context or clinical note, record as "Side posture mobilisation.") P- [describe pelvic adjustments including side adjusted and technique used which can include side posture, drop piece, blocks or flexion techniques and any related observations] (Write in bullet points with "-", if not explicitly mentioned in transcript, context or clinical note, record as "Side posture mobilisation.") Extremities [describe extremities adjustments and any related observations] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) STT [describe soft tissue therapy and any related observations] (Write in bullet points with "-", if not explicitly mentioned in transcript, context or clinical note, record as "Upper traps, rhomboids, lumbar erectors, sub-occipitals.") Vitamins/Lifestyle/Self Management [describe recommendations for vitamins, lifestyle changes, and self-management strategies] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Recommendations [describe any additional recommendations provided to the patient] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Next Visit [describe the plan for the next visit, including timing and focus areas] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) (Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information included in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely.) (Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)