Mitchell Quill - Making MŪVs Mail - New Intake Form Submitted!

PDF · 24 Sept 2026

This document is an automated Airtable email notifying the Making MŪVs team that Mitchell Quill has submitted a new client intake form for his practice, Bolingbrook Family Chiropractic. The form, created on 12/12/2025, captures comprehensive business and personal details: legal business name, EIN, office and mailing addresses, phone numbers, email addresses, website, Instagram handle, and a photo consent. It outlines the practice’s core services (diversified chiropractic, flexion distraction, ART, soft tissue, dry needling, at‑home care) and pricing (full‑priced new patient exam $270). The client reports 2,000 total new patients seen, 330 five‑star Google reviews, and accepts several insurance plans (BCBS, UHC, Aetna, Medicare). Expectations for a “10/10” experience are efficient communication and ROI; dissatisfaction would stem from poor communication and lack of ROI. Notification preferences include forwarding GoHighLevel calls to the office line (630‑739‑1791) and receiving text/email alerts on that same number and the email bbfchiro@gmail.com. The outreach lead will be handled primarily by Ariana Valdez. The form also includes area‑code preferences (630, 331) and a request for the main business logo.

Topics

Comprehensive Business and Contact Information

Legal name, EIN, office address, phone numbers, email addresses, website, Instagram handle, and photo consent for Bolingbrook Family Chiropractic.

Service Portfolio and Pricing Structure

List of core chiropractic services, modalities, and the full‑priced new patient exam cost ($270).

Client Expectations and Success Criteria

What would make the experience a 10/10 (efficient communication, ROI) and what would make it unsatisfactory (poor communication, no ROI).

Marketing Assets, Consent, and Branding

Photo consent, main business logo upload, Instagram handle, and request for marketing use of assets.

Lead Notification and Outreach Preferences

Forwarding GoHighLevel calls to office line, text/email notification numbers, and designated outreach contact (Ariana Valdez).

Insurance Acceptance and Reputation Metrics

Accepted insurance plans (BCBS, UHC, Aetna, Medicare), total new patients seen (2,000), and Google review count (330 five‑star).

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