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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. 

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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.

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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).

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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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