Robert Miller - Making MŪVs Mail - New Intake Form Submitted!
This document is an automated Airtable notification of a new intake form submitted on 12/10/2025 for the chiropractic practice Utah Spinal Works. The form captures comprehensive business and contact information for the practice and its providers (Robert Miller DC, Jeff Crockett DC), including primary and secondary email addresses, phone numbers, office address, and legal identifiers (EIN, LLC name). It records the practice’s service offerings (chiropractic, spinal decompression, digital X‑rays, red light therapy, cupping, ozone therapy, etc.), full‑priced new‑patient exam cost ($150), and a detailed list of core modalities. The practice’s marketing and outreach preferences are documented: GoHighLevel phone forwarding, text and email lead notifications, area‑code preferences (801, 385), and the primary outreach staff (Estrella Roque). Business goals are stated as acquiring 40 new patients per month, with a dissatisfaction trigger of “no new patients.” Reputation metrics include a Google review link and 132 five‑star reviews. Insurance plans accepted are listed (SelectHealth, Optum Health, EMI Health, DMBA, Cigna, Aetna, PEHP, Blue Cross Blue Shield of Utah). Additional details such as Instagram handle, photo consent (No), and a professional headshot placeholder are also included.
Topics
Practice Identification and Core Contact Information
Names of providers, practice name, legal business name, EIN, primary and secondary email addresses, phone numbers, office address, and time zone.
Patient Acquisition Goals and Success Criteria
Stated objective of 40 new patients per month and the condition that would make the experience unsatisfactory (no new patients).
Service Portfolio, Pricing, and Clinical Offerings
List of core services/modalities (chiropractic, spinal decompression, digital X‑rays, red light, cupping, ozone therapy, etc.) and the full‑priced new‑patient exam cost of $150.
Marketing, Outreach, and Lead Notification Preferences
Preferences for GoHighLevel phone forwarding, text and email lead notifications, area‑code preferences, primary outreach staff (Estrella Roque), and Instagram handle.
Insurance Acceptance and Billing Parameters
Enumerated list of insurance carriers accepted by the practice (SelectHealth, Optum Health, EMI Health, DMBA, Cigna, Aetna, PEHP, Blue Cross Blue Shield of Utah).
Reputation Metrics and Online Presence
Google review link, count of 5‑star reviews (132), and website URL (utahspinalworks.com).
Regulatory and Legal Identifiers
Legal business name (Utah Spinal Works PLLC), EIN/Tax ID, and confirmation of photo consent (No).