

Welcome to Vitalized Performance Group aka VPG Waves/ Follow instructions below to book your appointment:
1. Everyone will fill out a client health form either online or in our office. Please arrive 10 minutes before your appointment. PLEASE FILL OUT THE ENTIRE HEALTH FORM OR YOU MIGHT BE DENIED SERVICES.
2. For GAINSWave services we will need any labs taken in the last 6 months prior your appointment with our doctor.
Fast Easy Online option/Mobil Friendly
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.
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).
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