Colonic Institute of West Hartford
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Client Forms

Here are the necessary forms and policies that can be printed out prior to your first appointment.

THE CLIENT INTAKE FORM AND CONTRAINDICATION FORM MUST BE PRINTED OUT, COMPLETED AND BROUGHT TO YOUR INITIAL VISIT. The Colon Hydrotherapy:Q&A’s can be printed out and kept for your reference. It is a good idea to review the material BEFORE and AFTER your treatment.

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Client Intake PDF Client Intake Form (54KB)
General Health Questionaire and Cancellation Policy for new clients. Please complete, sign and bring in with the CONTRAINDICATION FORM.

Contraindications PDF Contraindications Form (38KB)
A contraindication is any indication or symptom that makes it inadvisable to use a particular therapy. Please review, sign and bring with the CLIENT INTAKE FORM.

Questions&Answers PDF

Colon Hydrotherapy: Questions & Answers (51KB)
Answers to common questions about Colon Hydrotherapy.
This does NOT have to be printed for your initial visit, but it is a good idea to keep for your reference to answer many of the questions that may arise before or after treatment.


   
 
   
 
   
43 North Main Street, West Hartford, CT