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Health Scanning and Analysis    Remote Treatments    Food Intolerance Test

Client consent form for remote testing and treatment - Quantum ID

Surname

Name

Father's name

E-mail

Gender

Date of Birth

Blood type

Country

City

Address

Phone

Choose Service Choose Service Remote Testing Remote Therapy Food Intolerances Metatron Hospital Machine

Do you have a particular area of concern?

I understand that my appointment time is reserved for me. More than one appointment missed or cancelled without 24 hours notice, will be subject to a cancellation fee. I understand and release the practitioner from any/all liability from problems arising as a result of information not given or withheld.

I understand that remote testing and treatment is a simple, gentle, energy technique that is used for stress reduction and relaxation. I understand that bioresonance practitioners do not diagnose conditions, nor do they prescribe or perform medical treatment, prescribe substances, nor interfere with the treatment of licensed medical professionals. I understand that distance healing does not take the place of medical care. It is recommended that I see a licensed physician or licensed health care professional for any physical or psychological ailment i may have. I understand that distance healing can complement any medical or psychological care I may be receiving. I also understand that the body has the ability to heal itself and to do so, complete relaxation is often beneficial. I acknowledge that long term imbalances in the body sometimes require multiple sessions in order to facilitate the level of relaxation needed by the body to heal itself.

I understand that the information contained in this Consent Form will remain confidential and that it is gathered for treatment and administration purposes.

By my electronic signature, I acknowledge that I understand and agree to the terms contained in this Consent Form.

Client consent for remote treatments

Your electronic signature

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