Intake Forms


Please download, print and fill out this 3-page intake form for Inner Wellness Colon Therapy and bring to your first appointment.  Thank you!

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12517 Moe's Road SE

Rainier, WA 98576

Tel: 360.480.1493

HOURS: 7AM-7PM  Monday-Friday

© 2015. Inner Wellness Colon Therapy.  

All Rights Reserved.

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