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Welcome to Vitalized Performance Group (VPG Waves) We’re excited to support your wellness journey. Please follow the steps below to ensure your appointment can be booked and approved.

1. Complete Your Intake Form Everyone must fill out the full client health form—either online or in our office. Please arrive 10 minutes early if completing it in person. All areas highlighted in yellow require your signature or initials. If the form is

incomplete, services may be denied. If you have any contraindications or concerns, please call our office before your visit.

 

2. For Vital Waves for Him Please upload or bring any lab work completed within the last 6 months. Our doctor must review these labs prior to your appointment.

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Stay Connected:
Opt-in for text alerts and our newsletter to receive appointment reminders and occasional updates. Don’t worry—we won’t bombard your inbox! You'll only hear from us about special announcements, exclusive offers, free services, and Saturday appointments.

Bubble Circle Questions: Select one option (Y [Yes], N [No], P [Past]) for each.
Note: Missing answers for "Female" or "Male" questions will not prevent the form from saving or submitting.

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Pharmacist Writing Prescription

Colon Hydrotherapy Blank Prescription Form
Have your MD, DO, APRN, or ND complete the form.

For clients with contraindications, your physician must fill out our forms.
Please note: Even with a completed form, the colon hydrotherapist reserves the right to refuse treatment.

Submit your completed forms by email to vpgwaves@vpgwaves.com or fax to 860-838-4664 (both HIPAA-compliant).

Onlin Booking under repair, please text! 

Thank you for choosing VPG Waves! Just a quick note about scheduling so we can take great care of you.

We do not offer weekend appointments. If you need a Tuesday or any time after 3 PM, please call or text Gigi at 860‑603‑3618 and she will help you personally.

For Vital Waves for Her appointments: Please call ahead to schedule. This is a specialized service that requires extra time, privacy, and preparation.

 

These appointments support women experiencing concerns such as intimacy discomfort, vaginal dryness, urinary incontinence, and pelvic wellness needs. Calling first ensures we can reserve the proper time and provide the attention this service deserves.

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SHARING IS CARING, PLEASE CONSIDER SHARING THIS INFORMATION WITH OTHERS

Disclaimers:

Alternative Health does not replace the services of your doctor. We offer information along with our products and wellness programs to those who are willing to share responsibility for their own health with their physicians. In the event our patient/client uses this information, and goes off their prescriptions without the approval of a physician, he/she assumes full responsibility for it.

It should not be misconstrued to mean, imply, or indicate that the products or programs described cure anything, as no such claims are made. ONLY THE BODY CAN HEAL ITSELF, so the nutritional supplements are not offered as a cure, but rather as aids to the body in re-establishing normal functions. The body is very complex, and providing a clean diet and one hundred percent nutrition can optimize one’s health. Results may vary.

If your doctor indicates that nutrition is not important and attempts to treat you only with drugs, we suggest you obtain a second opinion from a diet-conscious physician who is more aware of natural methods of biological medicine, because - after all – it is your health!

The statements made about the effects of the dietary supplements/treatments have not been evaluated by the Food and Drug Administration. Dietary and nutritional supplements are intended for special dietary use. They are not intended for use in the treatment, cure, prevention, or mitigation of any disease or disorder. They are intended to be used as part of an overall healthy lifestyle program that includes proper diet and exercise. Only your doctor can properly diagnose and treat any disease or disorder. Before starting to use any nutritional supplement, it is important to check with your doctor.

All statements on this website have not been evaluated by the Food and Drug Administration. These products/services are not intended to diagnose, treat, cure, or prevent any disease.

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