MedicomatRemote.com
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
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Remote Testing
Remote Health Diagnostics
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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