Hawaii Health Wellness
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  • Home
    • About >
      • Our Clinic
      • Hours
    • Accommodations
  • 10 day cleanse dates
  • Services
    • Colon Hydrotherapy >
      • Colonic Health Intake Form
      • 10-Day Colon Hydrotherapy Cleanse
      • Preparing For Your 10-Day Cleanse
      • 10 Day Transformational Retreat
    • Candida Treatment & Testing
    • Counseling & Emotional Release
    • Facials
    • ​Foot Detoxification
    • Lomi Lomi Massage
  • Book Today
    • $250 Referral Program
  • Contact Us
  • Blog
  • FAQ

Colonic Health
​Intake Form

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We would like to know more about you and your health history before your colon hydrotherapy session. 
This colon hydrotherapy Intake form is available for you to print and complete at your convenience prior to your session.
​If you do not wish to complete your intake form prior to arrival, please arrive 5-10 minutes early to complete the necessary paperwork on site at Aloha Aina Wellness Center.
Thank you!
Aloha Aina Wellness Center
Colon Hydrotherapy Intake Form
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