Dr. Ryan Knight, DC has been a practicing chiropractor for 31 years. Across 4 locations and dozens of associates, Knight Family Chiropractic is a high-volume practice that depends on efficient systems, consistent documentation, and a team that can move fast without cutting corners.
When he first decided to switch EHRs, he spent 4 months evaluating 5 different platforms. And although Prompt wasn’t on his radar originally, it soon jumped to the top of his list.
Since switching to Prompt, Knight Family Chiropractic has been able to:
- Eliminate the need for a paper chart running alongside their EHR
- Streamline documentation so rehab techs can focus on higher-value patient work
Life before Prompt: An EHR that still needed a paper backup
Before Prompt, Knight Chiropractic had an EHR, but they also ran paper charting alongside it because the EHR alone couldn’t keep up with the pace of a high-volume chiropractic office.
Rehab techs spent roughly a 3rd of their time on documentation tasks, acting as in-house scribes for the doctors. Notes from initial evaluations were handwritten and entered into the system later by someone else. Patients couldn’t complete their intake electronically, and after nearly a year of trying to build a workable app with their previous vendor, nothing had changed.
The gap between what the software promised and what it actually delivered pushed Ryan to find something different.
AI-powered documentation: Notes that write themselves
The feature that sealed the decision to switch to Prompt was Sidekick, Prompt’s AI assistant for scribing, ambient listening, smart dictation, and coding support. For a chiropractor running a high volume clinic, the ability to generate a complete, accurate note from a patient conversation rather than a checklist or template changed the entire rhythm of a visit.
"I get to come in and I get to be intentional and connect with the patient. I hit record and it just takes a note," Ryan said.
With new patients, the intake process starts before they ever walk through the door. As patients complete their intake form, the AI analyzes their answers in real time and generates personalized follow-up questions specific to their condition, capturing everything from injury onset and prior treatments to symptom progression and functional limitations.
The intake adapts as the patient fills it out, surfacing questions based on what they have already shared rather than serving everyone the same static form.
By the time Ryan walks into the room, the AI has used those responses to draft the subjective section of the note, including relevant medical history, prior and current level of function, and condition-specific detail.
He reviews it with the patient conversationally, fills in any gaps, and the AI assembles the final note.
You have the AI that can read all of that and give you a summary on the initial note. That, for me, was a game changer.
“That’s one of the things that led us to Prompt,” Ryan said. “The fact that you had not only the electronic intake information and the outcome assessments…but then you have the AI that can read all of that and give you a summary on the initial note. That, for me, was a game changer.”
The documentation quality has held up under scrutiny. When Ryan submitted a patient chart for a formal audit as part of a credentialing process with Parker, his practice scored 84% on their grading system, including notes from the earliest weeks on the platform before every setting was fully optimized.
Treat and Flow: The super bill, reimagined
A concern chiropractors often bring to Prompt is whether a platform associated with physical therapy will translate to the way chiropractic practices actually operate. For Ryan, the answer was in the Treat and Flow section.
"We traditionally worked off of a super bill... and literally the Treat and Flow is like working in a live super bill, except the patient or my staff actually enters the rehab, enters the repetitions and all the things that the patient's doing in real time," Ryan said.
What it boils down to is all of us need a great clinical note, and the SOAP note format is there for us.
His clinic provides chiropractic adjustments alongside decompression therapy, shockwave therapy, dry needling, muscle work, and stretching. All of it gets documented within the same workflow, verified by the doctor, and reflected in the final note. The format that looked PT-forward turned out to be fully adaptable to how chiropractors work.
"What it boils down to is all of us need a great clinical note, and the SOAP note format is there for us," Ryan said.
Keeping a full schedule without a front desk bottleneck
With 4 locations, patient flow and scheduling compliance can be ongoing operational challenges. But several key features within Prompt help Knight Family Chiropractic stay on top of it without needing to increase their manual labor.
Online scheduling gives patients a way to book without calling in, removing a manual step for the front desk and making it easier for patients to stay on track with their care plan. Knight Family Chiropractic has seen over 100 visits scheduled online since switching to Prompt.
Plan of Care Compliance and Waitlist automation keep patients accountable to their treatment plan without requiring staff to chase them down. When a patient is under-scheduled, the system sends a text letting them know they need to book more appointments and a link to online scheduling. Under-booked patients are also sent invites to openings that match their preferences and if they fit the criteria. The manual work of tracking and rescheduling lapsed patients is largely gone.
Kiosk and mobile check-in lets patients check themselves in before they even walk through the door. At some locations, half of all check-ins now happen this way. Staff know who is on the way and patients are prompted to pay outstanding balances at check-in.
"I really love the check-in from the phone kiosk feature because then we know they're on their way, especially if they're running late or whatever and they've already checked in," Ryan said.
For chiropractors considering Prompt: What changed his mind
Ryan came into the process of switching EHRs with the same question many chiropractors ask. He assumed a platform with physical therapy and rehab roots would come with features he didn’t need and gaps he couldn’t fill. What he found was different.
"When I first looked at Prompt, I did kind of think, ‘Well, there's additional information or there's different things in there that I won't necessarily need in my practice versus a PT or an OT’. But I wasn't too concerned about it as long as I was able to personalize it or customize it for us, and that hasn't been a problem," he said.
“We're able to document everything we need right there, and it's efficient and it generates a great note at the very end.”
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