Do you have to have a Chiropractic Assistant?
The answer is… it depends.
The more visits you see, the less efficient a “No C.A.” office becomes.
Working 4 days a week, with the right positioning and marketing, you could probably pull it off seeing up to 100 visits a week or so… without a C.A..
Obviously, if you aren’t going to outsource your billing, aren’t going to do the billing yourself, or make your spouse do it (joking), then you will have to hire someone and that someone may as well “run” the front desk too.
But, if you are outsourcing billing (not accepting insurance is foolish and on today’s 5-minute Seminar, I will explain in detail why that is), think that you can’t afford a C.A., or are just adamant against having one, then yes, not having a C.A. is possible.
Not ideal, but possible.
To be honest, at my age, if I was practicing, I’d treat guys only, outsource the billing, and would not have a front desk person.
I’d make it a fun, part-time practice and probably call it, “Man Cave Chiropractic”.
So yeah, a no-C.A. practice is possible but if you are a guy without a C.A., treat men only. Treating females without a female staff member present isn’t a wise idea. Male patients would be okay with it but most female patients would probably feel uncomfortable and rightfully so.
Also, you’d have to outsource the incoming calls so that each call is answered live and adopt a “no appointment/walk-ins welcome” policy.
A no-C.A. practice has it limits but combined with a small office, as long as you have reasonable revenue goal expectations, it can be done.