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Treating the Cognitively Impaired Patient: Risk Management and Documentation Essentials for Chiropractic Physician
Length: 1 Hour


This one-hour presentation explores the ethical, legal, and clinical challenges of providing chiropractic care to patients with cognitive impairment. From Alzheimer’s disease to traumatic brain injury, chiropractors are increasingly encountering patients whose ability to understand, consent to, and comply with treatment is compromised. This presentation will equip clinicians with tools to recognize cognitive red flags, involve caregivers appropriately, maintain HIPAA compliance, and ensure accurate and defensible documentation. Practical examples, case studies, and a step-by-step HIPAA flowchart are included to support clinical practice.

This course was originally presented on March 3, 2026, and sponsored by Pracisync

Dr. Evan Gwilliam, DC MBA BS QCC CPC CCPC CPMA CPCO, Senior Vice President, Practisync

Dr. Gwilliam, Senior Vice President of Practisync, brings a wealth of expertise to the healthcare industry. Graduating as Valedictorian from Palmer College of Chiropractic, Dr. Gwilliam holds credentials as a Certified Professional Coder, Medical Auditor, and Compliance Officer. With a unique background combining clinical experience with a Bachelor’s degree in accounting and a Master’s of Business Administration, he is widely recognized as a leading authority in his field. Dr. Gwilliam's expertise extends beyond his executive role, as he is also a sought-after seminar speaker. He shares his insights on topics ranging from healthcare compliance to documentation and coding at prominent industry events. Additionally, Dr. Gwilliam provides expert witness testimony, conducts medical record audits, and offers tailored consulting services to healthcare providers seeking to enhance their practices. He has contributed to reference books and articles for multiple publications, cementing his status as a thought leader in the healthcare community.


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