Forms

 

Call Office to discuss medical history.

 

Please fillout appropriate forms and fill them in before you come into office to save time:

 

 

Colonics: Patient Colonic Intake Forms

 

 

IV Vitamins / Chelation: Patient IV Vitamins and Chelation Intake Forms

 

 

 

 

Medical Release (to be filled out by your primary care physician if you have a chronic life threatening condition or if the patient is a minor)

 

 

 

Massage Forms: Massage Intake

 

 

 

 

		High Colonic				Heavy Metal Detox
		IV Vitamins				Chelation Therapy
		Nutritional Counseling				Fertility Clinic
		Allergy Testing				Talk Therapy
		Exercise Counseling				High Dose IV Vitamin C
		Hypnosis				Parasite Detoxification
		Life Coaching				Laboratory Testing
		Acupuncture				Deep Massage