Chiropractic and Wellness on Pewaukee Lake

Appointments: (262) 695-0022

  • Home
  • New Patient Forms
  • Chiropractic Methods
  • Other Services
  • Workshops
  • Rental Space/The Loft
  • Chiro FAQ
  • Testimonals
  • Dr. Tad's Blog
  • NutriDyn
  • Contact Us
  • More
    • Home
    • New Patient Forms
    • Chiropractic Methods
    • Other Services
    • Workshops
    • Rental Space/The Loft
    • Chiro FAQ
    • Testimonals
    • Dr. Tad's Blog
    • NutriDyn
    • Contact Us
Chiropractic and Wellness on Pewaukee Lake

Appointments: (262) 695-0022

  • Home
  • New Patient Forms
  • Chiropractic Methods
  • Other Services
  • Workshops
  • Rental Space/The Loft
  • Chiro FAQ
  • Testimonals
  • Dr. Tad's Blog
  • NutriDyn
  • Contact Us

NEW PATIENT FORM

Please click on the action button below to fill out the new patient paperwork. If this is going to be going through your insurance we do need the insurance portion COMPLETELY filled out so we may accurately pre-register you before your appointment. At the end of the form it will require your signature, please sign the best you can using your mouse, remember your signature does not have to be perfect on this! We look forward to seeing you and have a great day!


DON’T HAVE GREAT INSURANCE?  ASK US ABOUT OUR DISCOUNTED SELF PAY PLANS AND OUR YEARLY MEMBERSHIPS.

new patient intake

NUTRITION CONSULTATIONS

NUTRITION CONSULT INTAKE FORM

Evaluating Digestive Health FORM

Evaluating Digestive Health FORM

CLICK HERE

Evaluating Digestive Health FORM

Evaluating Digestive Health FORM

Evaluating Digestive Health FORM

CLICK HERE

Copyright © 2021 Chiropractic and Wellness on Pewaukee Lake - All Rights Reserved.


SIGN UP TODAY!

1 workshop (Buddha Bowls + Gut-healing Dressings), 2 Nutritional Consults, 6 Pilates Classes, 1 Tan, 1 Detox, 1 Sauna, 6 Whole Body Vibrations for Toning Your Choice of Fruits + Greens or Dynamic Slender Drink.

Additional services available at a discounted price.

Price: $199 (Valued at $383)


NEWLY EXPANDED YOGA SCHEDULE:

 Monday: Slow Flow 9-10 a.m.

Monday: Yogalates 6-7 p.m.

Tuesday: Gentle Flow, 8:30–9:30 a.m. 

Wednesday: Active Flow 9-10 a.m.

Thursday: Yin Yoga 9-10:15 a.m.

Saturday: Welcome to the Weekend Yoga 8:30-9:30 a.m.

Sunday: Candlelight Yoga 6-7 p.m.