paperwork

Please print and complete this 7 page form for your LSM appointment.  

 

You may also bring any supplements and medicine you are taking. 

 

Also if doing an in person appt bring along a small sample (2 oz) of your tap water taken first thing in AM (after the water has been sitting in the pipes for a long period of time). Glass container is best. 

 

These can be tested for compatibility and/or stress during the bio-resonance testing process with your system.

**IF THE FORM DOES NOT APPEAR BELOW PLEASE HIT THE REFRESH BUTTON.