AI Voice Agent for Chiropractors: Book New Patients and Reactivate Lapsed Patients in 90 Days

Chiropractic offices have a two-sided revenue problem that AI voice agents fix unusually well. On the inbound side, roughly 35 percent of new-patient calls land outside business hours or while the front desk is on another line, and at a typical case value of $1,200 to $3,200 across a treatment plan that is a meaningful leak. On the outbound side, the average chiropractic clinic has a database of 200 to 800 lapsed patients (six-plus months without an adjustment) who would book a return visit if someone actually called them. An AI voice agent handles both sides: inbound new-patient intake plus outbound lapsed-patient reactivation campaigns. On Hermes you can ship the first chiropractic agent in 72 hours for $149 per month on the Starter plan, then scale to twenty offices on the $699 Agency plan with white-label demo pages bound to your own domain.

This page is for AI voice agency operators serving chiropractic offices, not for chiropractors building this in-house. If you are a chiropractor, talk to a local agency. If you are the agency, the rest of this page is your playbook.

What the chiropractic call flow actually looks like

A chiropractic front desk handles five call archetypes: new-patient inquiry (organic search and referral), personal injury and auto accident referrals routed from attorneys, existing-patient scheduling for adjustments inside an active treatment plan, insurance coverage questions, and lapsed patient reactivation. Of those, four out of five are 85 to 95 percent automatable with current voice AI. Personal injury intake in particular benefits from automation because the front-desk questions are scripted and the case value is high. The escalation path is acute pain or post-adjustment complications, which must transfer to the chiropractor or the on-call provider.

Sample prompt template (drop-in)

You are the front-desk assistant for {{clinic_name}}, a chiropractic office in
{{city}}. You answer inbound calls and help patients book exams, adjustments,
or get clinical concerns routed to the right human.

GUARDRAILS
- Never give clinical advice or recommend specific adjustments. If a caller
  describes numbness, tingling, loss of bowel or bladder control, severe
  sudden headache, vision change, or post-adjustment symptoms, transfer to
  the on-call provider via transfer_to_oncall.
- Never quote exact insurance reimbursement. You may confirm which carriers
  we accept from the insurance_kb and offer to run a benefits check, which
  the front desk completes within 24 business hours.
- Never collect SSN or full DOB on the line. Month/day only for confirming
  existing patients.
- Never confirm an appointment without checking calendar_availability.

CAPABILITIES
- Book new patient exam: ask name, callback, reason for visit, whether the
  visit relates to an auto accident or work injury (different intake path),
  insurance carrier (no member details), preferred days/times. Call
  book_appointment with type="new_patient_exam" duration=60min.
- Book PI / auto accident: ask if there is an attorney involved, date of
  loss, and whether the patient has been seen anywhere else for this. Route
  to the PI intake queue with high urgency.
- Book existing patient adjustment: confirm by name + DOB month/day,
  propose next available 20-min slot within the active treatment plan.
- Reactivation outbound: confirm identity, offer the "we miss you" return
  visit slot, send_sms with the booking link.

VOICE / TONE
- Confident and warm. Many chiropractic callers are in pain. Be patient
  with explanations but do not over-soothe. Acknowledge the pain once.
- Use the clinic name in the greeting and the closing.

ESCALATION
- Words: numbness, tingling, can't move, lost feeling, lost bladder/bowel,
  fainted, vision change, severe sudden headache --> transfer_to_oncall.

CLOSE
- Confirm callback. Confirm time + date in spoken form. For PI cases,
  confirm attorney name spelled back. Thank by name.

Realistic call transcript snippet

HIPAA and personal-injury intake compliance

Chiropractic offices are HIPAA-covered entities. The voice agent vendor signs a BAA, recordings stay encrypted at rest, and minimum-necessary collection is the rule. Beyond HIPAA, the personal injury intake side has its own quirks: PI referrals from attorneys typically come with an attorney lien on the eventual case, which means the front-desk script must spell the attorney's name correctly, confirm the date of loss, and route the case into a separate PI billing flow. Get that wrong and you create downstream billing issues that take weeks to clean up. See HHS HIPAA rules for the federal baseline and our TCPA compliance overview for the outbound reactivation side.

Hermes vs DIY for a chiropractic agency

ROI math for a single chiropractic office

Most chiropractic clients we see book the agent at $497 to $897 per month, often paired with a reactivation campaign for $200 to $400 of additional usage credit. A single-location office taking 150 inbound calls per month captures 45 to 70 of those calls outside business hours. At a 40 percent new-patient-to-treatment-plan conversion rate and a $1,800 average treatment plan revenue, an extra 3 to 5 booked new patients per month is $5,400 to $9,000 of net-new revenue. The outbound reactivation side typically books 8 to 15 lapsed patients per month at $200 to $400 of immediate revenue each. Run the full math on the Hermes pricing page or see the platform overview at Hermes for agencies.

Beta operator results

Placeholders for live beta operator results. We add real numbers as agencies complete 60-day runs.

• Beta operator G, 5-office chiropractic group, Colorado: recovered 36 percent of after-hours hangups in month one, $14K of incremental booked treatment plans.
• Beta operator H, 2-office PI-focused chiropractic practice, Georgia: booked 22 net-new PI cases in first 30 days via the auto-accident intake flow.
• Beta operator I, solo agency owner serving 7 chiropractic offices, Ohio: reactivation campaign booked 84 lapsed patients across the portfolio in first 45 days.

FAQ