Surname Name Father's name E-mail Gender Date of Birth Blood type Country City Address Phone Choose Service Choose Health Test Remote Therapy Food Intolerances Metatron Remote Medicomat Hunter 4025 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 Submit the Form
Now Everyone Can be Healthy with Medicomat Hunter Remote Health Checkup and Remote Treatment at Any Distance.