ChiroSpa™ New Patients

Online Forms

We’re looking forward to your first visit to ChiroSpa. We offer our patient forms online so that you can complete them in the convenience of your own home. If you do not have Adobe Reader® installed on your computer, please click here to download the software. Then, print and complete one of our New Patient forms below in black ink to help us speed up the initial process and respect your valuable time. Thank you!

New Patient Health History Form

Health History Form for Auto Accidents (Only)
Please use this form so that we can document your Auto Accident injury for your insurance and legal claims.

New Patient Health History Form (Medicare Only)

New Patient Health History Form for Workman’s Compensation Injury (Only)
Please use this form so that we can document your Workman’s Compensation claim.

What to Expect

Enter the comfort of ChiroSpa for your initial consultation. Our friendly staff will welcome you and help you complete any forms necessary for the doctor (Online Forms). You and the doctor will discuss your health history and any current health issues to determine your wellness goals before the examination process begins. All of our procedures and fees are explained to you in advance and we encourage you to ask questions.

Based on the results of your examination, a personalized plan will be designed for you with the doctor’s recommendations for your care. A time to discuss this report with you will be scheduled for your follow-up visit.

Preparation

If you have any test results, reports or x-rays regarding your specific areas of concern, please bring them to your initial consultation. Please print out and complete our Online Forms prior to your first visit to facilitate the paperwork process. To best understand the health issues that you would like to address, we will ask you to discuss:

When did your health problem begin?
How did your health problem begin?
What activities make your problem better or worse?
Have you tried other treatments? If so, what has worked and what has not.
Is there any other information the doctor needs to know?

We welcome friends and family members, should you wish to bring someone to observe your exam or treatment.

Payment Options and Insurance

We strive to make your total wellness care affordable for everyone and will work within your budget to achieve your optimum health. Chiro Spa accepts the following payment methods: Cash, MasterCard, Visa, American Express and Discover Card. Most PPO’s and major health care programs cover the cost of all or part of your chiropractic visits. You can also utilize Care Credit for low or no interest financing. Call to speak to our Finance Team at (972) 390-2273, if you have any additional questions. We look forward to assisting you.

Special Instructions

Oxygen Spa Therapy

A Treatment that Radically Promotes Lifetime Wellness

Please eat a protein snack before your treatment.
Wear something comfortable that you can change into and out of easily.
For maximum oxygen absorption, it is recommended that you enter the sauna without clothing. If you prefer, you may wear a swimsuit.
If you are taking a blood thinner, you are not a candidate for this procedure.
Treatment is also contraindicated in patients who are pregnant

After your cleansing oxygen spa therapy, toxins are thrown off by the skin. It is recommended that you shower and scrub your skin in the evening of the day that you have your session to remove toxins. If you wore a swimsuit, wash your suit as soon as possible.

Detoxifying Ionic Footbath

Remove Unwanted Toxins from Your Body

Please notify the doctor’s assistant if you have any of these conditions:

Pregnancy
Epileptic Seizures
Psychotic Episodes
Electrical Implants
Organ Transplants
Open Wounds on Your Feet

Please take medication or nutritional supplements 3 Hours before treatment.

Patient Experiences

Advanced Wellness

“These techniques work and I am living proof!” – Denise M.
Something was keeping my adjustments from holding, so Dr. Tanella talked to me about Advanced Wellness. After three sessions, I did not keep relapsing. My adjustments were holding for a week or two weeks at a time. These techniques work and I am living proof!

Back and Neck Pain

“It really changed my life!” Evangeline R.
I had been living with chronic neck and back pain for so many years, that it just became absolutely normal for me. A friend recommended Chiro Spa, and I am really glad that she did. I have been coming for over five months, and the change has just been absolutely remarkable both physically and mentally. So much so, that even casual acquaintances have asked me what my secret is. I am glad to share that it is Chiro Spa. It really changed my life!

Allergies, Ear Infections & Chronic Problems

“Through the treatments, adjustments, and loving care I receive every time I come here (…), I have all but eliminated my sinus infections.”–Steve B.
I had a half a dozen sinus infections in a row. Previously, I had one or two a year. I saw a specialist who wanted to take out part of my nose or set me up for allergy shots. Neither sounded like something I wanted to do, at least at that stage. I had never gone to a chiropractor or even believed in chiropractic care. I came in and found that I was headed toward bigger problems. I was falling apart inside and just didn’t know it. Through treatments, adjustments and the loving care I receive every time I come here, I have all but eliminated my sinus infections.

General Health & Wellness

“I feel the best I ever have in my whole life!” – Celia K.
We came up with a treatment plan of nutrition, adjustments, physical therapy, the foot detox, oxygen and the whole works. I needed everything! We went ahead and did it and signed up. I feel the best I ever have in my whole life!

Headaches

“I would DEFINITELY recommend chiropractic to others. I love the feeling of well-being and just feeling good!” - Sherry
My major problems when I came to ChiroSpa™ were headaches, stiff neck and lower back aches. I had these problems ever since high school and just came to accept them as part of my life. Five medical doctors had treated me with various prescription medications over the years along with over-the-counter products I used in between care. This care only gave some relief for a short period of time. After three treatments under chiropractic care, I noticed a decrease in the frequency of headaches and complete relief from the stiff neck. The problems I lived with since high school gave me a general feeling of tiredness compounded by a feeling of not being able to cope, not to mention the constant headaches. I would DEFINITELY recommend chiropractic to others. I love the feeling of well-being and just feeling good!

Spinal Rejuvenation Table (SRT)

“Thanks for making my life fun again, Dr. Tanella!” – Diane S.
My scoliosis was getting worse with each passing year. The pain felt like a knife stabbing me in the back. It was draining my energy and ruining my quality of life. With just one SRT treatment, I felt unbelievably wonderful. The pain was gone and I was full of energy! Thanks for making my life fun again Dr. Tanella.

Cold Laser

“…Within the first week my symptoms were completely gone.” – Rebecca K.
Last year I became very ill with a kidney infection and after seven visits to a doctor, my symptoms had only increased and not decreased at all. I had used ChiroSpa™ in the past as a cure for migraine headaches that I had been having for eight years. For four years I have been headache free. I returned to ChiroSpa™ to give them a chance to fix my kidney problem… …within the first week my symptoms were completely gone. The techniques that were used were the laser, detoxifying and natural supplements. I am pain free, the infection is gone, and now I am on a maintenance routine just to avoid future incidents.


HOME ABOUT US NEW PATIENT CENTER THE CLIENT CENTER THE WELLNESS STORE CONTACT US



Sign up today for “Words on Wellness”, a free newsletter designed to help you live a healthier, happier life. Name: Please insert your name. Email Address: Please insert your email. ChiroSpa™ New Patients Online Forms We’re looking forward to your first visit to ChiroSpa. We offer our patient forms online so that you can complete them in the convenience of your own home. If you do not have Adobe Reader® installed on your computer, please click here to download the software. Then, print and complete one of our New Patient forms below in black ink to help us speed up the initial process and respect your valuable time. Thank you! New Patient Health History Form Health History Form for Auto Accidents (Only) Please use this form so that we can document your Auto Accident injury for your insurance and legal claims. New Patient Health History Form (Medicare Only) New Patient Health History Form for Workman’s Compensation Injury (Only) Please use this form so that we can document your Workman’s Compensation claim. What to Expect Enter the comfort of ChiroSpa for your initial consultation. Our friendly staff will welcome you and help you complete any forms necessary for the doctor (Online Forms). You and the doctor will discuss your health history and any current health issues to determine your wellness goals before the examination process begins. All of our procedures and fees are explained to you in advance and we encourage you to ask questions. Based on the results of your examination, a personalized plan will be designed for you with the doctor’s recommendations for your care. A time to discuss this report with you will be scheduled for your follow-up visit. Preparation If you have any test results, reports or x-rays regarding your specific areas of concern, please bring them to your initial consultation. Please print out and complete our Online Forms prior to your first visit to facilitate the paperwork process. To best understand the health issues that you would like to address, we will ask you to discuss: When did your health problem begin? How did your health problem begin? What activities make your problem better or worse? Have you tried other treatments? If so, what has worked and what has not. Is there any other information the doctor needs to know? We welcome friends and family members, should you wish to bring someone to observe your exam or treatment. Payment Options and Insurance We strive to make your total wellness care affordable for everyone and will work within your budget to achieve your optimum health. Chiro Spa accepts the following payment methods: Cash, MasterCard, Visa, American Express and Discover Card. Most PPO’s and major health care programs cover the cost of all or part of your chiropractic visits. You can also utilize Care Credit for low or no interest financing. Call to speak to our Finance Team at (972) 390-2273, if you have any additional questions. We look forward to assisting you. Special Instructions Oxygen Spa Therapy A Treatment that Radically Promotes Lifetime Wellness Please eat a protein snack before your treatment. Wear something comfortable that you can change into and out of easily. For maximum oxygen absorption, it is recommended that you enter the sauna without clothing. If you prefer, you may wear a swimsuit. If you are taking a blood thinner, you are not a candidate for this procedure. Treatment is also contraindicated in patients who are pregnant After your cleansing oxygen spa therapy, toxins are thrown off by the skin. It is recommended that you shower and scrub your skin in the evening of the day that you have your session to remove toxins. If you wore a swimsuit, wash your suit as soon as possible. Detoxifying Ionic Footbath Remove Unwanted Toxins from Your Body Please notify the doctor’s assistant if you have any of these conditions: Pregnancy Epileptic Seizures Psychotic Episodes Electrical Implants Organ Transplants Open Wounds on Your Feet Please take medication or nutritional supplements 3 Hours before treatment. Patient Experiences Advanced Wellness “These techniques work and I am living proof!” – Denise M. Something was keeping my adjustments from holding, so Dr. Tanella talked to me about Advanced Wellness. After three sessions, I did not keep relapsing. My adjustments were holding for a week or two weeks at a time. These techniques work and I am living proof! Back and Neck Pain *“It really changed my life!”* Evangeline R. I had been living with chronic neck and back pain for so many years, that it just became absolutely normal for me. A friend recommended Chiro Spa, and I am really glad that she did. I have been coming for over five months, and the change has just been absolutely remarkable both physically and mentally. So much so, that even casual acquaintances have asked me what my secret is. I am glad to share that it is Chiro Spa. It really changed my life! Allergies, Ear Infections & Chronic Problems *“Through the treatments, adjustments, and loving care I receive every time I come here (…), I have all but eliminated my sinus infections.”–Steve B. I had a half a dozen sinus infections in a row. Previously, I had one or two a year. I saw a specialist who wanted to take out part of my nose or set me up for allergy shots. Neither sounded like something I wanted to do, at least at that stage. I had never gone to a chiropractor or even believed in chiropractic care. I came in and found that I was headed toward bigger problems. I was falling apart inside and just didn’t know it. Through treatments, adjustments and the loving care I receive every time I come here, I have all but eliminated my sinus infections. General Health & Wellness “I feel the best I ever have in my whole life!” –* Celia K. We came up with a treatment plan of nutrition, adjustments, physical therapy, the foot detox, oxygen and the whole works. I needed everything! We went ahead and did it and signed up. I feel the best I ever have in my whole life! Headaches “I would DEFINITELY recommend chiropractic to others. I love the feeling of well-being and just feeling good!” - Sherry My major problems when I came to ChiroSpa™ were headaches, stiff neck and lower back aches. I had these problems ever since high school and just came to accept them as part of my life. Five medical doctors had treated me with various prescription medications over the years along with over-the-counter products I used in between care. This care only gave some relief for a short period of time. After three treatments under chiropractic care, I noticed a decrease in the frequency of headaches and complete relief from the stiff neck. The problems I lived with since high school gave me a general feeling of tiredness compounded by a feeling of not being able to cope, not to mention the constant headaches. I would DEFINITELY recommend chiropractic to others. I love the feeling of well-being and just feeling good! Spinal Rejuvenation Table (SRT) “Thanks for making my life fun again, Dr. Tanella!” – Diane S. My scoliosis was getting worse with each passing year. The pain felt like a knife stabbing me in the back. It was draining my energy and ruining my quality of life. With just one SRT treatment, I felt unbelievably wonderful. The pain was gone and I was full of energy! Thanks for making my life fun again Dr. Tanella. Cold Laser “…Within the first week my symptoms were completely gone.” – Rebecca K. Last year I became very ill with a kidney infection and after seven visits to a doctor, my symptoms had only increased and not decreased at all. I had used ChiroSpa™ in the past as a cure for migraine headaches that I had been having for eight years. For four years I have been headache free. I returned to ChiroSpa™ to give them a chance to fix my kidney problem… …within the first week my symptoms were completely gone. The techniques that were used were the laser, detoxifying and natural supplements. I am pain free, the infection is gone, and now I am on a maintenance routine just to avoid future incidents. “These techniques work and I am living proof!” Something was keeping my adjustments from holding, so Dr. Tanella talked to me about Advanced Wellness. After three sessions, I did not keep relapsing. My adjustments were holding for a week or two weeks at a time. These techniques work and I am living proof! – Denise M.
HOME ABOUT US NEW PATIENT CENTER THE CLIENT CENTER THE WELLNESS STORE CONTACT US