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Wellbeing Chiropractic — ROF Prep Tool
ROF Reference Card

Your personalised 7-stage ROF reference card — generated from the form. Print or copy for use in the consultation.

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Patient Name Your Two Care Plan Options
Date · Chiropractor

The Chronic Neck Pain Program

Two clinical pathways to end chronic pain — choose the depth of correction that fits your goals.

PLAN A · 36 VISITS· PLAN B · 24 VISITS· BOTH INCLUDE FULL GUARANTEE
This pricing is locked in for 7 days from today. After next week, both plans are re-reviewed and rates may change.

Your Assessment

NotesAdd goal and clinical findings in the sidebar to populate this section.
★ PREMIUM — RECOMMENDED
Plan A — Premium
12
Part 1 — 3×/wk, 4 wks
Reduce pain & begin correction
16
Part 2 — 2×/wk, 8 wks
Stabilise & lock in results
28
Total Visits
12
Weeks
3
Months
Total Value$3,200+
Your Investment$2,100
SAVE $0
Option 1 — Recommended
3 Fixed Monthly Payments
Direct Debit · No processing fees
$700/mo
Works out to $25/day across the program
SAVE $0
Option 2 — Prepay
Set & Forget
One payment · No more bills
$2,100
≈ equivalent to 5 free visits off retail
Basic — Alternative
Plan B — Basic
12
Part 1 — 3×/wk, 4 wks
Reduce pain & begin correction
12
Part 2 — 1×/wk, 12 wks
Stabilise & lock in results
24
Total Visits
10
Weeks
3
Months
Total Value$2,400+
Your Investment$1,800
SAVE $0
Option 1 — Recommended
3 Fixed Monthly Payments
Direct Debit · No processing fees
$600/mo
Works out to $20/day across the program
SAVE $0
Option 2 — Prepay
Set & Forget
One payment · No more bills
$1,800
≈ equivalent to 5 free visits off retail
The 12-Visit Review

At your 12-visit checkpoint, if there's no measurable change, we'll review your plan with you or refer you to a specialist who can get you better results.

Wellbeing Freedom Guarantee

If your circumstances change, any unused prepaid visits are refunded 100%. No lock-in, no fine print.

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Wellbeing Chiropractic  —  Home Care & Investment

The 12-Visit Review Promise

At your 12-visit checkpoint, we sit down with you to review your progress. We are confident you are in the right place. If for any reason that changes, we will either adjust your care plan to better suit you — or refer you to another professional we believe may be better suited at that time.

We want the right outcome for you — not the right fit at the wrong price. Measurable change is assessed using posture photos, range-of-motion testing, and your outcome measure score.

What about my private health cover?

Both your prepay and fixed monthly payment options are eligible for private health rebates under Extras cover.

Easiest approach — wait until you have attended all your visits, or until your scheduled progress reports, and submit one claim covering all sessions. This is what most patients do.

Alternative — claim after each visit. Most funds support this, but it requires you to submit a claim every time, which is more administrative work.

Your level of cover and rebate amount depends on your fund and policy. Check your Extras cover before your first visit.

Your Home Care Plan
What you do between visits is just as important as what we do in the clinic.