David Diehl - Making MŪVs Mail - New Intake Form Submitted!
This document is an Airtable‑generated new‑client intake form submitted on 1 Nov 2025 for Dr. David Diehl’s practice, Maximized Life Chiropractic. It captures comprehensive onboarding data for the Making MŪVs marketing/operations platform, including personal and practice contact information, legal business name and EIN, office and home addresses, phone numbers, and preferred notification channels. The form records the client’s primary business objective – acquiring 20 qualified, on‑time patients per month with completed paperwork – and outlines concerns about no‑shows and discount‑seeking patients. It lists the practice’s core services (chiropractic, digital X‑rays, functional medicine, lab testing, vibration therapy, Gonstead analysis, etc.), the full‑price new‑patient exam ($360), and the estimated total number of patients seen (≈10,000). Marketing assets such as Instagram handle, website URL, logo uploads, and a professional headshot are provided, along with a link to Google reviews (236 five‑star reviews). Operational preferences include call forwarding to the office line, text and email notifications for leads, and the name of the outreach coordinator (Ella Coats). Insurance acceptance (Medicare and limited out‑of‑network) and cash‑only payment with superbills are noted. The form was created anonymously via Airtable automations and sent to the Making MŪVs team for setup.
Topics
Comprehensive Client Contact & Legal Profile
All personal, practice, and legal identifiers: names, emails, phone numbers, home and office addresses, legal business name (Diehl Chiropractic, PC), EIN, and tax‑related details.