Jackson Humphrey - Making MŪVs Mail - New Intake Form Submitted!
This document is an intake form submitted on 12/6/2025 for Jackson Scott Humphrey, owner of Evolve Chiropractic (legal name Humphrey Chiropractic LLC). The form captures comprehensive personal and business information required to set up marketing services through Making MŪVs Mail. Key data include contact details (personal and office phones, emails), physical addresses (personal Austin residence and Dripping Springs office), tax ID (EIN 83‑3753161), and branding assets (logo, headshot consent). The client’s primary business goal is to learn and execute effective digital advertising to sustain $30,000+ per month as a solo practitioner. Preferences for phone handling (GoHighLevel number forwarding to office line, text/email lead notifications) and area code targeting (512, 737) are specified. Service offerings are detailed: diversified chiropractic, Graston, ART, soft‑tissue work, cupping, plus ancillary therapies (CBD, e‑stim, compression, percussion). Pricing for new‑patient exams is $250 for exam + treatment and $99 for exam + consult. The practice has seen ~1,500 new patients, holds 107 five‑star Google reviews, and does not accept insurance. The client also provides an Instagram handle (@evolvechiropracticTX) and requests a 10/10 experience focused on ad creation, execution, and support.
Topics
Client Identity & Legal Business Structure
Personal name, legal entity (Humphrey Chiropractic LLC), EIN, tax ID, and primary contact information.
Practice Locations & Contact Channels
Residential address in Austin, TX; office address in Dripping Springs, TX; personal and office phone numbers; email addresses for personal and business use.
Marketing Objectives: $30K+/mo Solo Clinician
Goal to learn and execute effective ads that generate at least $30,000 per month in revenue, with a desire for ongoing support and education.
Phone & Lead Notification Preferences
Forward GoHighLevel number to office line, receive lead and booking notifications via the same office phone and business email, area code preferences (512, 737).
Service Portfolio & Modalities
Core chiropractic services (diversified, Graston, ART, soft tissue, cupping) plus supplemental therapies (CBD soft tissue work, e‑stim, heat, compression, percussion).
New Patient Exam Pricing Structure
Full priced exam & treatment at $250; exam & consult at $99.
Reputation Metrics: Google Reviews
Approximately 1,500 new patients served, 107 five‑star Google reviews, with a link to the review page.
Insurance Policy: Cash‑Only Practice
The practice does not accept insurance.