How much space do you actually need? Before starting your search for a new Chiropractic office location, or considering expanding, you should start with this question. You don’t want to get stuck in something that is too small, or even to big, for your specific practice and needs.
START WITH A LIST OF SPACES
In order to establish the square footage required, our designers always begin with a list of functions and some calculations. First, determine and list all of the functions you want in your space. Do you need a separate office or consultation room? Do you want to include an open multiple functional spaces for seminars? Don’t forget to include items required by code like the correct number of bathrooms and ADA access needed.
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DETERMINE THE SQUARE FOOTAGE FOR EACH SPACE
Next, list the size or square footage you will need for each of those functions. Below is some more information on typical spaces and what size you will need.
Reception Area/ Waiting Room/ Receiving Area: 20 square feet per person is needed for small chairs, with an 80 square feet minimum. If you want more lounge seating, increase this to 30-35 square feet per person. You should consider additional space for Hospitality such as a water cooler and healthy snacks and/or Retail products.
Children’s Area: If you want a designated focused waiting area for Children, the size to calculate depends on the activity you want in that space. For an active area with floor space for them to play with toys, we recommend 15 square feet per child. For a quiet area with children’s books or magazines, 5 square feet per child will work with a 20 square foot minimum.
Front Desk / Reception Desk and/or Administrative and Business area: 50 square feet, about a 6 foot by 8 foot area, is the minimum for one person to work comfortably. For each additional person in that area, add at least another 30 square feet, 50 to be comfortable. If you have free standing storage, file cabinets, a stand-alone copy machine, you will need to add extra space. In some Chiropractic offices, all business activity takes place at the Front Desk, so generous size is important. In other offices, a separate Business Office is required. An ADA compliant front desk may be required as well.
Adjusting / Treatment Rooms: The standard closed Adjusting/Treatment Room is 9 feet by 12 feet. This will comfortably hold a standard 2 foot by 6 foot adjusting table with about 3 feet of circulation space to work around it, plus a small area for a workspace and storage. A semi‐open treatment room can be slightly smaller, closer to 8 feet by 10 feet, because there is not a door. An open adjusting area can be even smaller, due to the overlap in the circulation space. We recommend at least 4 feet between tables. Be sure when planning to allow for work table and/or computer space. Extra square footage may be required if you offer additional modalities or specialty equipment within your treatment area. If you care for patients in a wheelchair, accessibility of the room requires additional square footage as well to accommodate a 60” turning radius.
Exam Rooms: Most common Exam Rooms are 9 feet by 12 feet . This once again allows 3 feet around the 2 foot by 6 foot table and room for standard equipment. If you have additional equipment, you will need to add more space. If you don’t need space around an table, you can use less space.
Therapy and/or Rehabilitation Space: These spaces, and their square footage requirements, will variety greatly per practice and dependent upon the equipment in the space. A full rehabilitation space has different needs than a massage room would. The only way to determine the square footage needed is by actually laying out the equipment and space requirements for the proper use of that equipment.
X‐Ray Room and Control Area: Commonly the room will be 12 foot by 8 foot and most states require the room to be at least 80 square feet. Most X-ray arms require 8 feet of space and the viewing window wall is about 48 inches wide with 48 inches behind. The size could vary dependent upon X-ray equipment you chose. The final layout of the room is determined by your equipment and verified by a radiology physicist. For an analog X-ray, the typically dark room is a minimum of 25 square feet with a 5 foot by 5 foot layout. Again, the size and amount of your equipment may require a larger space.
Patient Consulting and/or Doctor’s Report of Findings Space: The layout of the room determines the size needed for this space. If the goal is for you and your patient to sit side by side in front of a counter with your computer on it, it can be as small as 6 feet by 8 feet. If you want a small conference table in the center of the room with 3 or 4 chairs, the minimum should be 10 feet by 10 feet. Another arrangement is a standard desk with you seated behind and 2 to 3 guest chairs in front, typically 9 foot by 12 foot is adequate to plan.
Education Space: This is often not a separate space, but previously planned space that can be transformed for used for training your staff or having educational sessions with your patients. The guideline is to plan for 7 square feet per person for classroom style occupancy.
Doctor’s Office: The minimum should be 6 feet by 8 feet for a desk or workstation against the wall for 1 person. You may want a larger area depending on how the office is used and your practice style.
Employee Break Area: For a full break room with a table and chairs, the average is 8 feet by 10 feet. If you don’t want a full break room, we suggest at the minimum, you should plan space for a small refrigerator and microwave in a non‐public area.
Storage: This is the most overlooked space in a Chiropractic office floor plan. Plan on the room to store patient files & films if applicable, other files, retail products, office supplies, marketing materials, etc. This can be added onto the Reception area or made into a separate space.
Don’t forget the Mechanical, Electrical, & Code Required Spaces
Restrooms: Check with your local jurisdiction to find out how many restrooms are required by code. Typically you will need one ADA restroom for office space under 1500 gross square footage. Over that you will need two ADA restrooms, one male and female to meet current codes. For over 4000 square feet you will need to confirm with local authorities. To meet current ADA compliance, you will need a 5-foot turning radius plus 5 feet around the toilet and 3 feet around the sink. The sink needs access under it for a wheelchair, so no cabinets allowed. The minimum size is 56 square feet or 7 feet by 8 feet.
Laundry: OSHA requires that any cloth items that touch a patient be washed up to specific standards. This is accomplished by on‐site washer and dryer or a specialized laundry service. Taking your laundry home to clean the clothes is not acceptable.
Water fountain: Over 1500 gross square feet, national codes require access to water for patients to be specifically piped in water with drainage, so a water cooler does not meet this requirement. As opposed to a typical water fountain that most people don’t want to use anymore, we have been specifying in-wall water hydration stations with filtration. These meet the ADA and plumbing codes in most states, and patients actually like to use.
Mechanical: It is possible that your space will require a Mechanical closet to hold the Heating/Ventilation/Air Conditioning (HVAC) equipment. The minimum for this should be planned at 70 square feet.
Electrical: You will need an electrical panel in your space and coder requires that 3 feet in front of the panel is unobstructed. For planning allow a 3 foot x 5 foot area.
Server Closet: With technology today, this space has required less and less floor space in an office. We typically allow 5 square feet and locate the server in a cabinet being built in a back office.
CALCULATE YOUR MINIMUM BUT ALSO YOUR IDEAL
Above is an example that you can follow for the format of your list. As you can see, you will list the spaces you want in your office in the first column, then there are multiple columns for square footage and number of spaces. We always create 4 columns for each space. The first two are for the minimum requirement you need to function. What do you currently have or what is the minimum you need to add? List what you feel is the smallest space that you and your staff can use. Make sure you anticipate growth so that you do not have to do this all again in a few months. The second set of columns are for your ideal or wish list square footage. What else do you need to function your best? What do you think will help with your overall business and culture. Are there any functions you would like to add in the future? These two sets of columns will help you when you are searching for your space or budgeting for your expansion. A couple of feet can really affect your bottom line and it’s good to know what you really need to function or what you think would be best for your office.
Multiple the square footage by the quantity for both your minimum and ideal columns. Once you have each columns total, then add what is called a “circulation factor” to account for corridors, wall thickness, and exits, etc. You will use a different circulation factor depending on the type of space you will have. Use 25% for a very open space, 30%-35% for semi-open space and 40% for mostly closed space. After adding this last number, the new total is your Net Square Footage, or usable floor space inside the walls. The last number you need is your Gross Square Footage. This number includes portion of the perimeter walls, and possibly a percentage of common spaces, i.e. core restrooms or elevators. Your lease, purchase, or construction amount will be based on the Gross Square Footage. To estimate your Gross Square Footage, add at least 4% in retail strip center space and up to 15% in high rise office buildings.
USE YOUR NUMBERS TO CREATE YOUR VISION
Now that you have the numbers, it’s time to start space planning or creating a layout. For more information on how to plan your space, check out our blog “How to Get Most out of Your Space.”
OVERWHELMED? WE CAN HELP!
The process of planning your office can be overwhelming and complicated. Our CrossFields team has many years of experience in planning, designing, and constructing offices for doctors like you and can help you plan for your next office. Schedule your Complimentary Consultation today to find out how we can help “Bring Your Vision to Life.”
Original article from: Crossfields Chiropractic Office Design
With over 30 years of experience, Carolyn has gained complete understanding of every aspect of the commercial interior industry. Her experience includes turnkey, full-service architectural interior design; extensive program development studies (PDS), feasibility studies, design programs , planning studies and space planning; development of facility standards and master plans; creative impact statements for retail, hospitality and corporate; graphic identity packages; sustainable design; as well as complete facility start-ups and relocation management.
She has a Bachelors of Science – Interior Design, University of Texas at Austin, 1980, is a Registered Designer, a LEED Accredited Professional, NCIDQ Certified, and Professional Member of IIDA/International Interior Design Association and GAIDP/Georgia Association of Professional Interior Designers.