Vitalized Performance Group
Patient Forms
(print, fill out and bring it to your first appointment, to save time)
For first time Colonics please read the information and do the follow:
Patient Forms
(print, fill out and bring it to your first appointment, to save time)
For first time Colonics please read the information and do the follow:
Fax: 860-430-2843
Email: [email protected] [email protected] is a HIPAA COMPLIANT 3RD PARTY ENCRYPTED EMAIL: PLEASE USE THIS EMAIL FOR ALL IMPORTANT AND CONFIDENTIAL EMAILS. ALL PROVIDERS HAVE ACCESS TO THIS EMAIL. We understand that many households use shared e-mail addresses. You give us permission to send emails where others can potentially access the information. With today’s advances in technology and the busy lifestyles that people lead, email is often preferred over other forms of communication when it comes to confirming appointments or sending lab test results. However, patients/clients should be aware that even despite extensive efforts on the part of the healthcare provider to protect sensitive information, no email is 100% safe.
Snail mail or drop in our mailbox:
212 New London Turnpike, Suite D Glastonbury, CT 06033
Please bring in your photo ID at your appointment .
Colon Hydrotherapy: For first time clients, the first step is to print the patient intake form. You can get it back to us by using the methods described here. Our naturopathic doctor will review your intake form and make sure receiving colonics is safe for you. You might expect a call to go over your information. You will then receive a call or email from our office to find out if you are approved. We can then book your appointment.
This is an annual requirement.
Colon Hydrotherapy: For first time clients, the first step is to print the patient intake form. You can get it back to us by using the methods described here. Our naturopathic doctor will review your intake form and make sure receiving colonics is safe for you. You might expect a call to go over your information. You will then receive a call or email from our office to find out if you are approved. We can then book your appointment.
This is an annual requirement.