

New clients:
START with the WaiverLink intake form.
Once you finish it, a MindBody account is automatically created for you.
Please use the same email and password for both — it keeps everything connected and easy.
Existing clients:
Just log in with the email and password you already used, form waiverlink or/and mindbody.
After that, you can book appointments and manage your MindBody account smoothly.
MORE INFORMATION:
QUESTIONS CALL OR TEXT: 860-603-3618
Fast Easy: Client Online Intake form option/Mobil Friendly (automatically puts you in our system for easy booking)
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.
A prescription is only needed if you have certain health conditions or if your doctor is referring you to us. For everyone else, our in‑house doctor can provide the required prescription at no extra cost.
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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