Please complete the health questionnaire form prior to your first colonic irrigation health consultation. It contains some basic questions which are helpful to us. The required information is handled in strictest confidence.

The links on this page allow you to download the form in Microsoft Word format, or to download the PDF version of the form which you can print out and fill in by hand.

Please bring along the completed questionnaire to your appointment or send it by email to pam@amaryliscolonics.co.uk.

If you have any questions please do not hesititate to contact us.

Colon Hydrotherapy

 

Clinic located in Formby, Merseyside