Please bring the following signed, completed forms with you to your first Colon Hydrotherapy Appointment.

Health Questionnaire
Informed Consent Form
Financial Policy Form
Cancellation Policy
All forms in one document

Many documents on this site are saved as PDFs, or "portable document format" that allows them to be viewed on a wide range of computer operating systems. It's particularly helpful because the documents retain their original formatting.

If you can't access these pdf documents, you will need to download the free reader, called Acrobat Reader. It is a widely used program that is safe to download.

If you don't have a printer, or you are unable to print these forms from your computer, please call us at 860.287.4558.