ACM Health History Form

For your convenience, we have provided our Health History Forms in Adobe .pdf format (below) so that you may print, complete, and bring them with you to your appointment.

We hope to soon have interactive online health history forms available.

Prior to your first visit, you may select, print and complete the Basic Heath History Form plus any Addendum forms for each particular service desired.

Atlanta Colonic & Massage – Basic Health History Form

Colonic History Form – Addendum

Ionic FootSpa History Form – Addendum

Therapeutic Massage History Form – Addendum

Far IR Sauna History Form – Addendum

If you have any questions, comments or concerns or would like to schedule an appointment, please feel free to contact us:

770-558-6900

atlantacolonic@bellsouth.net

Atlanta Colonic & Massage

6710 Jamestown Drive
Alpharetta GA 30005
CLICK HERE FOR DIRECTIONS

770-558-6900

We Accept:
- All Major Credit & Debit Cards
- Employer Flex Spending Account Cards
- Health Savings Account Cards

Cancellation Policy

. Bernard Jensen M.D.
“ Every tissue in the body is fed by the bloodstream, which is supplied by the bowel. When the bowel is dirty the blood is dirty and so are the organs and tissues. It must be the bowel that is cared for first.”

Essene Gospels of Peace
" So I tell you truly, suffer the angel of water to baptize you also within, that you may become free from all your past sins, and that within likewise you may become as pure as the river's foam sporting in the sunlight."

Conditions Responding to Colon Hydrotherapy Cited by Rheumatologist Dr.Arthur E. Brawer
" Colon hydrotherapy eliminates from the bowel the repository of accumulated waste material which may disadvantageously get absorbed."
" The toxin deposition which becomes lodged throughout the body's tissues and cells becomes capable of triggering a variety of illnesses," " There's lots of them." says rheumatologist Dr. Arthur E. Brawer.
Some disease symptoms to which clients have reported relief or improvement after Colonics or Colon Hydrotherapy include:
Allergies, Arthritis, Asthma, Attention Deficit Disorder, Hypertension, Body Odor Brittle Hair & Nails, Chronic Fatigue Cold Hands & Feet Colitis, Spastic Colon, Constipation, Fibromyalgia Headaches, Mouth Sores, Multiple Sclerosis, Nausea, Peripheral Neuropathies, Peptic Ulcer, Poor Posture, Muscle Pain, Joint Aches, Skin Rashes, Toxic Environmental or Occupational Exposure" .

Drew Collins, N.D.
"The therapeutic goals of colon therapy are to balance body chemistry, eliminate waste, and restore proper tissue and organ function." .

Client Posting:.
"…I use to think that colonics were some sort of scam or rip off, but I was wrong. After experiencing a colonic, I realize what an incredible experience they can be and how great I feel afterwards…" D. Hutchinson .

Client Posting:.
"…Visited several spas that offered colonics and all claimed to be “the best colonic provider in Georgia" but was really not very impressed with any of them. Then I tried Atlanta Colonic and WOW what a difference, very nice place, clean and professional. Had an incredible experience…its the best as far as I'm concerned..."K. Barton .

Client Posting:.
"…Just returned from my 3rd visit to Atlanta Colonic and Massage, great place, very clean and professional. I have been using their Isagenix Product B and can really feel the difference in my level of energy and overall health..."Tony B. .

Proudly serving all of Metro Atlanta including Alpharetta, Roswell and Sandy Springs as well as Dunwoody, Cumming, Johns Creek, Buford, Norcross, Marietta, Kennesaw and Woodstock. Many of our clients come from as far away as Duluth, Lawrenceville, Gainesville, Stone Mountain and even Tennessee and South Carolina.
Our clients tell us we are the best colonic experience in Georgia. Give us a try and we think you will agree!

A proud member of the Georgia Better Business Bureau and the Fulton County Chamber of Commerce