Welcome to Csiza Health Care P.L.L.C.
Hours : Please Call to schedule an appointment: (603)404-1823
Located in Sandown, NH
Why CHC is Different
Csiza Health Care brings the visit to you, with the exception of DOT physicals.
The type of practice has several benefits to it. First, it allows the patient to be seen in the comfort of their own home. This is a big bonus when you are not feeling well and leaving home to get treated is the last thing you feel like doing, especially on those cold snowy or rainy days!
Second, it provides the patient with a comfortable environment that they know. Often patients are nervous about seeing a provider in an unfamiliar environment which leads to increased anxiety for the patient. Being in their own home allows them to feel more in control and relaxed.
Third, it is convenient for patients that cannot drive or do not have reliable transportation to get them to an appointment.
It is especially helpful for a parent with multiple children because you don’t have to pack everyone up and drag them with you. They can stay and play in the comfort of their own home.
Fourth, we don’t pay rent on an office. This reduction in overhead allows us to offer low cash pay prices for certain tests and procedures and sliding scale visit fees for patients that are
underinsured, uninsured, or CHC is out of their insurance network.
Fifth, having the clinician visit the patient in their own home can be very helpful to diagnosis and treatment. Being able to see the surroundings in which the patient lives can offer insight to the provider as to what might be happening and how to best treat the patient.
Meet Our Provider
Our Family Nurse Practitioner is Nicole Csiza.
Nicole has been a nurse since 2008. She has worked in multiple specialties as a registered nurse including long term care and memory care,medical-surgical, orthopedics, preoperative and postoperative, operating room, mom/baby, and
neurology.
She has also worked in the outpatient ambulatory setting of a primary care office.
Nicole became a Family Nurse Practitioner in 2017. During her advanced training she completed two rotations in primary care, two rotations in urgent care/ occupational health, and one rotation in women’s health care.
She is very experienced with the elderly population as she has worked in home health since becoming a NP. She is experienced with dealing with complex patients with multiple comorbidities. Nicole enjoys the challenge balancing complex patients brings. However, she enjoys seeing patients of all ages with any range of health needs.
Nicole has been married since 2006. Her husband is a pilot which has allowed her to work coast to coast. She has three beautiful children, two girls and a boy. They love going apple picking or
whatever fruit is in season!
Qualifications
RN license NH state
APRN license NH state
Board Certified Family Nurse Practitioner by the AANP
Education
LPN Certificate Denver Community College 2008
ADN (RN) Denver College of Nursing 2009
Bachelor of Science in Nursing Western Governor’s University 2013
Master of Science in Nursing Chamberlain University 2017
*Nicole also holds a Bachelor of Arts degree in Journalism with an emphasis in Public Relations and a Minor in Marketing from the Metropolitan State University of Denver. She graduated in 2002
Our Mission
At Csiza Health Care P.L.L.C., our mission is to provide compassionate and personalized home health care services to our clients. We strive to improve the quality of life for those we serve, while prioritizing their safety and well-being.
SERVICES
Primary Care
Urgent Care/Sick Visits
Sports Physicals
DOT Physicals (coming soon)
Medical Marijuana Card
Weight Management( coming soon)
Pain Management
Hydration Therapy (coming soon)
Family Sick Visits
Family Sick Visits don't have to be traumatic for little ones. Healthcare at home can be calming.
Wellness
Wellness
Well Visits and School Physicals
Travel Fees
There is an additional $20.00 charge for distances greater than a 30 minute radius.
Travel is based from Sandown ,NH.
IM Injection Descriptions
B-complex vitamins, to help convert nutrients into energy- and keep your skin looking clear and healthy. $50 (B complex+B12= $75)
B12, is a vitamin found in food and is also used as a dietary supplement. Vitamin B12 helps to utilize fats and carbohydrates for energy and make new proteins. Vitamin B12 is important in the maintenance of our metabolism, blood cells, and nerve function. Most people get enough vitamin B12 in their diet, but some need supplementation. Certain health conditions such as intestinal or stomach problems, poor nutrition, cancer, HIV, pregnancy, old age, veganism, and alcoholism can cause vitamin B12 deficiency. Low levels of vitamin B12 can lead to fatigue and anemia in milder cases. More serious B12 deficiencies have the potential to impair heart and neurological function, leading to a wide range of serious symptoms, including but not limited to tinnitus, severe joint pain, memory problems, depression, anxiety, poor muscle function, ataxia, and changes in reflexes. Infertility can also occur in individuals with insufficient B12. Early intervention and treatment of B12 deficiencies are key to maintaining healthy bodily function. B12 can also be beneficial as part of a weight loss program. $50
Tri-Immune Boost is a power packed immunity blend made up of Glutathione, Ascorbic Acid, and Zinc. This high concentration blend of immune boosting essentials is the ultimate immune system enhancer to help maintain a healthy immune response. Ascorbic Acid supports cellular functions of both the innate and adaptive immune system Zinc Sulfate plays a role in the development + function of immune processes Glutathione protects host immune cells + provides optimal functioning of other cells in the immune system. $75
Glutathione protects host immune cells + provides optimal functioning of other cells in the immune system. $30
Quad-Immune is the Tri-immune boost + B complex. $110
NAD and NAD+ occur naturally in the body. They play a major role in the chemical process of generating energy. NAD+ is probably the most important co-factor for improving mitochondrial function. Mitochondria are intracellular organelles (AKA “energy powerhouses”) where micronutrients are converted to energy-rich ATP molecules for the cell. As we age, our body’s NAD levels gradually drop due to lower intrinsic production and inflammation/oxidative stress caused by environmental factors. This drop in NAD+ can cause fatigue, mental fog, dull and tired skin, and poor sleep quality. Boosting NAD+ may help manage a wide spectrum of diseases and the effects of aging. NAD+ can be administered via IV (intravenous), IM (intramuscular), or SC (subcutaneous) route. When administered by IV, some research has demonstrated its ability to improve mental clarity, memory, concentration and alertness. Moreover, NAD+ infusions may improve athletic endurance and reverse the symptoms of chronic fatigue. Research has shown that NAD+ may have potential for fighting the effects of addiction. Excessive alcohol and drug use diminishes the amount of NAD naturally found in the body; by reintroducing it through NAD therapy, cravings and withdrawal effects may be reduced as a result. Additionally, NAD+ has been shown to boost serotonin, aiding with symptoms brought on by depression and anxiety. $172
Inner Beauty is designed to quench the skin to reduce wrinkles and fortify hair, skin and nails.
Possible Benefits of Ascorbic Acid: Required for the formation of collagen Antioxidant and anti-inflammatory properties reduce skin irritation, dark spots, and redness, helps increase the moisture content in skin, repair damaged skin calls, and promote new cell growth. Possible Benefits of Olympia’s Vita-Complex: reduces inflammation, limits signs of aging, and increases cellular regeneration, helps control blemishes and breakouts, hydrates skin. Possible Benefits of Biotin: required for formation of collagen and keratin, stimulates hair follicle Improves skin elasticity and reduces wrinkles. $60
Vitamin D is a critical nutrient for optimal health, helping you lead a happier and healthier life. It’s a powerhouse that your body relies on for several functions, ranging from a strong immune system to sturdy bones. Vitamin D helps prevent brittle, weak bones—and lowers the risk of osteoporosis that can occur as a result—because it helps the body absorb bone-building calcium. Too little vitamin D can cause bone pain, as well as muscle weakness, in a condition called osteomalacia. Vitamin D may provide crucial support in maintaining healthy blood vessels (which may lower high blood pressure) and lowering cholesterol (to cut the risk of atherosclerosis and plaque buildup on blood vessel walls). Vitamin D may be helpful with immune support in warding off the germs that can cause colds, flu, or other illnesses. It may also be effective in alleviating symptoms of inflammation caused by autoimmune diseases. If you are struggling with mood disorders such as depression, vitamin D may help; some research indicates a link between low blood levels of vitamin D and depression symptoms. Some researchers have found that the brain has many vitamin D receptors, and it’s crucial not just for developing babies’ brains in-utero but also for maintaining cognitive function throughout life. Low levels of vitamin D have been linked to obesity and diabetes. Eliminating a vitamin D deficiency may help manage diabetes symptoms and enhance weight loss efforts. $50
Lipo Plus injections are usually used as part of a comprehensive weight loss program that includes diet and exercise. Potential benefits are increased metabolism, increased energy, and muscle support. Contains: pyridoxine ,methionine , inositol, choline. $40
Lipo plus+B12= $75
MICC is an injectable solution that supports fat loss by boosting overall energy, reducing fat deposits and accelerating metabolic processes. Contains Methionine, Inositol, Choline, Cyanocobalamin. $35
Payment and Insurances Accepted
Current form of payment accepted is Cash, Check, Venmo, (debit, credit card,)
Anthem BCBS
Aetna
Cigna
United Health Care
Harvard Pilgrim (coming soon)
Medicare(coming soon)