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