Ohio Colon Hydrotherapy School

School Enrollment Application

Complete this application online to enroll in LIBBE Device Training or the I-ACT Professional Colon Hydrotherapy Training Course (PCHTC). No previous training in health care is necessary.

Choose Your Training

LIBBE Device Training Only5 days / 50 hours of in-person, hands-on training — the minimum requirement to become Device Certified and legally operate the LIBBE FDA Colon Hydrotherapy Device. Includes two colonics, light lunch, and certification. $1,500.00 per person.I-ACT Professional + LIBBE Training7 days / 65 hours in-person hands-on training plus 200 hours of online modules (must be completed within six months). Includes I-ACT & NBCHT membership and testing fees, two colonic sessions, lunch, certificate, transcripts, and ongoing assistance. $3,500.00.

Classes start every Monday–Sunday at 9 am. I-ACT and LIBBE classes are held together; I-ACT students stay an extra day and a half. Pre-study guides are sent by UPS after enrollment is processed.

Requested Start Date *

Student Information

First Name *

Last Name *

Cell # *

Email Address *

Address *

Apt

City *

State *

Zip *

Date of Birth *

Driver's License #

Print name to appear on your Certificate of Training *

Please bring or email copies of your GED or diploma and all other health-care related degrees, licenses, or certificates.

Prescription & What You Need for Class

A Prescription (RX) is required for class. If you do not have your prescription from your state, our area doctor will try to provide one for you at a cost of $150.00. If you need an RX to purchase your LIBBE device, the cost is $300.00.

Copy of GED or diplomaCopy of degrees / transcripts (if any)Copy of CPR Certification CardPrescription (RX) from my state (or I need the area doctor to provide one)

Do you already have a prescription (RX) from your state?

YesNo

Emergency Contact & School Policy

Name *

Phone # *

Relationship *

Always be kind and respectful to each other.
We are professionals and we must dress, talk, and act like it.
We must follow all laws and rules pertaining to Colon Hydrotherapy.
We do not offer job placement or employment.
It is your responsibility to research the laws in your city/state.
You understand that there are annual fees due to maintain your membership.
All tuition and fees are non-refundable — this applies whether you pay in full with a one-time payment or use an in-house payment plan. Once class begins, no refunds are issued, and any remaining payment-plan balance is still owed.
The school reserves the right to refuse service or training before or during class if the student refuses to follow this letter.

I have read and agree to the school policy and the refund policy.

Print Name *

Sign Name (type your full name) *

I-ACT Administrative Fee

Please choose only the option that fits your situation for entering training.

PCHTC training — $1,100.00 (non-refundable)International PCHTC training — $900.00 (non-refundable)Foundation to PCHTC training — $750.00 (non-refundable)Instructor/School fees only — checking with my instructor

Payment Amount

Payment Method

Cardholder's Name

CC Zip / Postal Code

For your security we never collect card numbers online — the school will contact you to take payment securely. A 2% processing fee is added to all credit cards. Checks may be sent by registered mail to 30675 Solon Rd Stop 103, Solon OH 44139 and must arrive 7 days before class starts.

I-ACT Membership Information

Legal Name (as on driver's license) *

Name to appear on membership certificate

Mailing Address

City/Province

State/Region

Zip/Postal Code

Country

Phone

Phone Type

Text Messages (cell only)

Business Information (if any)

Business Name

Business Address

City/Province

State/Region

Zip/Postal Code

Country

Business Phone

Fax Number

About You

Membership in other organizations

Skills, hobbies & interests

Have you ever been convicted of a felony or misdemeanor?

YesNo

If yes, please describe

Are you currently working as a colon hydrotherapist?

YesNo

Start Date

Number of clients seen per week

Type of equipment used

I-ACT Policy Statements

Please read carefully and initial your understanding of each statement.

I-ACT requires the use of currently registered FDA equipment and only disposable speculums, rectal tubes, or rectal nozzles. Should the therapist use reusable speculums, they must at a minimum be autoclaved for sanitation and cleanliness (30 minutes), and the autoclave unit must be tested and inspected by a competent authority at least four times per year — maintain documentation. (Under NO conditions should a disposable speculum or rectal tube be reused.)

I-ACT recognizes the FDA classifies equipment used to instill water into the colon into three distinct classes: Class I (Enema Kits), Class II and Class III (Colon Irrigation Systems). Follow the guidelines of your manufacturer, as approved by the FDA for the type of equipment you are using. Make no claims as to the use of your device other than those approved by the FDA.

I-ACT recognizes there are two distinct types of colon irrigation systems: open and closed. It is I-ACT policy that the colon hydrotherapist/technician is always in attendance or immediately available to the client throughout the session, in compliance with the manufacturer's instructions as registered with the FDA, and/or as directed by a physician.

The I-ACT policy on insertion is to require the client to insert the rectal tube or speculum; or follow the instruction of the referring physician, the guidelines of the manufacturer as approved by the FDA, or the directives of your city, county, state, or country ordinances.

I-ACT recommends that you do not put the initials (CT) for colon hydrotherapist after your name — write it out in full. According to most state laws, putting initials after your name is not allowed unless you are licensed or have a degree from an accredited professional school.

Advertising copy which states or implies that colon hydrotherapy can treat any disease, promises a cure for any disease, or makes unsubstantiated medical claims SHALL NOT be used.

Information for all new members outside of Texas: “Colon irrigation devices are prescription devices and their purchase must be authorized by a practitioner licensed by state law to use such devices in that state. A colon hydrotherapist must be supervised by such a practitioner and must have a written order on file for each procedure.”

Information for all new members inside of Texas: “Colon irrigation devices are prescription devices and their purchase must be authorized by a physician licensed by the Texas Board of Medical Examiners. A colon hydrotherapist must be supervised by such a physician and must have a written order on file for each procedure.”

I acknowledge the I-ACT policies and agree to comply with all I-ACT policies. I understand that failure to comply with the policies listed above may result in my removal from the association. By signing this application, my signature indicates I have read these statements and will comply with all information contained herein.

Signatures

I hereby acknowledge that I have read and understand the complete Ohio Colonic Training School enrollment. My signature confirms that I am medically, physically, and mentally fit to participate in this training course. I also understand that all tuition and fees are non-refundable — whether paid as a one-time payment or through an in-house payment plan — and that any remaining payment-plan balance remains due.

Student Signature (type your full name) *

Date *

All applicants must be sponsored by an I-ACT certified instructor. The sponsor/instructor completes the section below with their signature and I-ACT membership number.

Sponsor Signature / Instructor

Sponsor / Instructor Membership Number

Questions? Call 216-200-5577 or email colonichealthandwellness@gmail.com