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Natural Flow1739 Marion Street Denver, CO 802183038131800new patient intake form Date / / Name Date of Birth Address Age City, State, Zip Sex M F Email Address Home Phone Work/Cell Phone Occupation
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To fill out a colon hydrotherapy/colonic irrigation form naturally, follow these steps:
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Start by providing your personal information such as your name, date of birth, and contact details.
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Next, fill in your medical history including any current medications you are taking and any known allergies.
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Answer questions about your diet and lifestyle, including your typical daily food intake and exercise routine.
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Provide details about any previous colon hydrotherapy sessions you have had, including the date, duration, and any notable results.
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If you have any specific concerns or symptoms you would like to address during the session, make sure to mention them on the form.
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Lastly, read through the consent and waiver section carefully, and sign and date the form to acknowledge your understanding and agreement.
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It is advisable to consult with a healthcare professional or the provider of the form for any specific instructions or guidelines.

Who needs colon hydroformrapycolonic irrigation formrapynatural?

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Colon hydrotherapy/colonic irrigation may be beneficial for individuals who:
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- Experience chronic constipation or irregular bowel movements.
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- Suffer from digestive issues such as bloating, gas, or abdominal discomfort.
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- Want to detoxify or cleanse their digestive system.
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- Are preparing for certain medical procedures or surgeries that require a clean colon.
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- Seek relief from symptoms of certain health conditions like Irritable Bowel Syndrome (IBS) or inflammatory bowel disease (IBD).
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- Are looking to support their overall colon health and improve their overall wellbeing.
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It is important to note that individual needs and potential risks should be evaluated by a qualified healthcare professional before undergoing colon hydrotherapy.
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Colon hydrotherapy, also known as colonic irrigation, is a procedure that involves cleansing the colon by flushing it with water and sometimes other substances for detoxification purposes.
Individuals who have undergone colon hydrotherapy treatment may be required to file a record or documentation for health or insurance purposes, as determined by their healthcare provider.
To fill out the form, individuals should provide their personal information including name, date of treatment, and the details of the procedure as instructed by their healthcare practitioner.
The purpose is to document the completion of the colon hydrotherapy procedure, ensuring that appropriate records are maintained for health monitoring and insurance claims.
The form typically requires personal details, date of the procedure, the clinician's information, and notes on the treatment administered.
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