New patient consultation at Roselle Center for Healing.
New Patient Experience · Fairfax, VA

Welcome to the Roselle Center for Healing.

Comfortable, friendly, and ready to serve. As a new patient, you are family, and your wellness journey begins here.

Online forms→

Welcome video

Meet the practice before your first visit.

Watch this orientation from Dr. Tom Roselle and the team, then complete your new patient forms so we can make the most of your 90-minute visit.

Welcome

A warm welcome awaits you.

We make every effort to make you, our patient, feel comfortable. Prepare to be greeted with a warm smile, relaxing music, and a calming atmosphere. You will find our staff friendly, knowledgeable, and ready to serve.

As a new patient, you will experience teaming with our practitioners and staff to reach your optimal level of health and wellness through total body balance, structurally, chemically, and emotionally, using Chiropractic, Applied Kinesiology, Acupuncture, Massage Therapy and Nutritional Functional Medicine.

Patient consultation.

Getting Started

Scheduling your new patient appointment.

To schedule your new patient appointment, which is 90 minutes, simply call our office at (703) 698-7117 or use our online form. Our staff will assist in finding a time with the practitioner of your choice that works well with your schedule.

We will also review new patient fees, deposit requirements, and cancellation policy. New Patient Forms should be completed prior to your appointment arrival.

New patient forms

Complete these before you arrive.

Required forms first (1–6). Download and print, or use Fill Out Online. Bring them with you or fax (703) 698-5729. Optional forms only if they apply to your visit.

1

Notice of Privacy Practices (NPP)

Required

Describes how medical information about you may be used and disclosed.

2

New Patient Office Policy

Required

Patient information and initial history we need to know.

3

New Patient Welcome Form

Required

Lets us know your health history, current state, questions, concerns, and wellness goals.

4

EHR Patient Health History

Required

Demographics, contact preferences, and health history for your first visit.

5

HIPAA Consent of Treatment

Required

Consent for treatment and use of protected health information.

6

Symptom Survey

Required

A symptom checklist that helps your doctor see the full picture.

7

Accident / Injury Forms

Optional

Complete only if you are coming in after an auto accident or personal injury.

8

Nutritional Forms

Optional

Metabolic screening for nutrition visits.

9

FAQ About Medicare

Information

How Medicare applies to care at our office.

10

Thermography Centers Online Forms

Optional

Thermography intake is completed on the Thermography Centers site.

First Visit

What to expect at your first visit.

Initial assessments designed to give your practitioner a complete picture of your health.

01

Acugraph

Used to analyze and document the energetic status of your acupuncture meridians, invisible energy pathways used therapeutically for over 5,000 years.

02

Blood Pressure (3 Positions)

Lying, sitting, and standing blood pressure to assess adrenal and physiological function.

03

Gate Scan

An assessment of the way you stand, walk, and run. Like the foundation of a house, your feet support everything above them.

04

pH Testing

A test strip is placed in saliva to determine alkaline or acidity level. An alkaline body is more conducive to health and well-being.

05

Zinc Testing

Zinc is required for several bodily functions involving energy, metabolism, and immune health. The test reveals whether levels are sufficient.

06

Examination

Your doctor may conduct a neuro-physical applied kinesiological examination, nutritional assessment or energetic evaluation to find the root cause.

Second Visit

Report of findings.

Your doctor will review the assessment of your condition based on your initial examination, review of records, and lab test results. They'll design and present an individualized projection of care or treatment plan, typically taking you from acute condition through repair and into a wellness program. You'll meet with one of our Patient Advocates to review your financial breakdown and schedule appointments that minimally interrupt your routine.

Doctor reviewing report of findings.

Begin your journey

Ready to begin your wellness journey?

Schedule your 90-minute new patient appointment today. Call us or complete our online forms to get started.

Online forms
Get In Touch

Start Your Journey toWellness.

Call, book online, or send a message, our Fairfax team replies within 24 hours.

Call us today

(703) 698-7117
Free 20-Min Consultation

Or send us a message.

Contact Form
Replies within 24 hrs

Address

8500 Executive Park Ave, Suite 300
Fairfax, VA 22031

Get Directions →

Rating

4.7★

110 Google Reviews

Hours of Operation

Open Today
Monday
7:00 – 5:00
Tuesday
10:00 – 7:00
Wednesday
7:00 – 5:00
Thursday
2:00 – 7:00
Friday
7:00 – 5:00
Saturday
8:00 – 1:00
Sunday
Closed

New Patients Welcome

Ready to start your
healing journey?

Book Online

Or call (703) 698-7117