Sunrise Colon Hydrotherapy









Health Questionnaire
Purchase Book
Recipes (New!)



Pre-screening is required for everyone who desires to have Colon Hydrotherapy and is done before an appointment can be made.  Below, you will see a link to the one-page form which shows the pre-screening questions.   These are health questions with “yes” or “no” answers which make sure that it is safe for your body to have Colon Hydrotherapy. 

Please look at these questions and let me know, when you call my office, whether or not you answered “yes” to any of the questions other than the first two questions.  If you answer “yes” to any of the questions other than the first two, it does not necessarily rule out Colon Hydrotherapy (CHT), but it does require me to get some additional information from you.

If you are able to print this form and fill it out before you come in for your first appointment, please do. That will save you some time in the office.  After clicking on the link below, please print the form and then fill it out.  Remember, you will need to bring this completed form with you to my office.

If you are unable to print it and fill it out ahead of time, I will have a copy available in my office for you to fill out when you arrive. 

Pre-Screening questionnaire for first time Clients