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Join 200+ chiropractic offices getting retention systems that work.

When you join, I’ll send you an email every couple of weeks to ensure your retention metrics rise over time.

March, 2025 | Vismai

How To Nudge Long Term Chiropractic Adoption (Without Being Needy)

Most Chiropractors are stuck in the same trap, causing their clients to leave just as fast as they came in.

You’re the last thing on their mind, and the first to go.

A client walks into your chiropractic office with a twinge in their back. You adjust them, the pain fades, and poof—they’re gone. Back to their busy lives, their noisy phones, their Netflix binges. Maybe they leave because you fixed them. Maybe they leave because you didn’t. Either way, you’re stuck in the "LIFO" loop—Last In, First Out.

I used to be there too. Eight years ago, I was blue in the face explaining chiropractic to anyone who’d listen. Some got it. Most didn’t. I was drowning in my own expertise, spewing abstract jargon while their eyes glazed over. My PVA (patient visit average) hovered at a measly 20—meaning one new client for every 20 visits. I was sprinting on a hamster wheel, chasing new faces to keep the lights on.

Then I zoomed out.

Pathway to engineer serendipity.

Build the enabling tools to give your CA a chance to engineer serendipity – it's impossible without CA tools.

Study the anatomy of the serendipity pathway as seen in the diagram above– You will need to role play this pathway over and over again for solid results achieved naturally.

Monthly Depth: A book recommendation that aligns with their curiosity (12 a year, not 52—trust me, I tried).

Quarterly Anchor: A newsletter like Energy For Life—not too much, not too little, just right.

Six-Month Cycle: A community challenge + open day that reignites their "why."

Get the sequence wrong, and you’re either a needy nag or a forgotten footnote. Get it right, and you ascend clients from "my back hurts" to "I’m an advocate for this work."

Today, my PVA’s climbed past 100 in Singapore after four years—and in Holland, it’s one new client for every 2,000+ returning visits.

The Vortex isn’t a script; it’s a framework. It’s the silent lighting and white walls of an art gallery—there to make the art (your adjustments) shine.

The Office Matters TooStep inside my 53-square-meter space. Wooden floors. Antique desk. No IKEA fakery. A lending library with our quarterly newsletters on the shelf. Divider walls that open for healthcare classes. It’s minimal, elegant, and screams "naturalist"—because the environment you invite people into is your loudest subliminal ad.

Your MoveBuilding your Vortex takes six to eight months. Training your team to wield it—another six. Is it worth it? Ask me in three years when your retention metrics soar while others scramble for new clients on Instagram.

Want the full blueprint? Grab Keep Your Clients—link below. It’s 200 tested touchpoints distilled into 15 that transform symptom-chasers into lifelong advocates.

Zoom out. Design the journey. Build the space. Watch them stay.

Get Keep Your Clients Here | Explore More at thevismai.com

I’ll end with this:

If you want to learn more about developing loyal clients, watch my playlist on YouTube.

If you want to build some retention tools and use them for impact, check out my Create and Master Your New Client Welcome Book (for on boarding new clients effectively) and Create and Master Your Quarterly™ Newsletter (to ascend clients in a rhythmic way)

– Vismai

Who Is Vismai?

I’m the author of Keep Your Clients, The CA School and writer obsessed with the mind, keeping people in chiropractic care longer and helping chiropractors gain more peace in practice.

When You’re Ready, Here’s How I Can Help You:

Keep Your Clients.

Create a retention vortex for your own chiropractic office.

Get The Book

Audit your chiropractic office for retention potential.

Just how ready is your chiropractic office for long term loyal clients?

Enroll Now

New Client Welcome Booklet template and training how to use it.

First impressions matter. A must have tool that needs to alter the main reason people come to you apart from pain.

This tool ascends your client's level of understanding of chiropractic not by cognitively explaining it but getting them to experience it in their own body.

Buy the Welcome Booklet Template

November, 2024 | Vismai

Engineering serendipity in your chiropractic office.

Serendipity is my favorite word in the dictionary.

I like the look of the word and it's sound too.

How is it possible that some chiropractors and chiropractic assistants seem to have all the "luck" in generating internal referrals as well and keeping people in chiropractic care over the long term? Much of it comes down to engineering serendipity.

Let's define some terms;

Serendipity is the occurrence of the unplanned.

Engineering is the occurrence of the planned.

How do you plan the unplannable?

Much of this comes down to the systems that you have in place that increase your chance of "luck".

If you are trained in spotting triggers that lead you to respond in consistent ways, and if you can connect the dots to spark referral conversations you'll be well on your way to being "lucky" as far as generating internal referrals.

But there is one more step - tenacity. You need to skillfully follow through and track the dialogue that you are having with your client.

To easily initiate the chain of events that lead to consistent serendipity you need tools for your chiropractic assistants. Provide them with "talk trigger" tools, role play on how to use those tools and your "luck" will increase.

Let’s find out. I'll share my approach in a podcast and/or you tube format. Click on the image above if you prefer you tube.

You can either listen to it here on your walk: https://open.spotify.com/show/6qaIKTbjsfpuZ9lXPzwkI1