Contraindications Waiver

As a colonic hydrotherapy is interacting with your colon and natural microbiome, we both of us (you and me) need to be sure that you do not have any conditions or surgeries that means doing this treatment will cause a negative outcome. 

We want happy guts at this clinic.

Please fill out and click each condition to verify that you do NOT have this complication.

By sending this waiver you are agreeing that you do not have any complications that would cause a negative impact after treatment.

Thank you,

Keren.

Please tick to confirm you DO NOT have these conditions:

14 + 6 =