Please print and complete this 7 page form for your appointment.
You may also bring any supplements and medicine you are taking, along with a small sample
(2 oz) of your tap water taken first thing in AM (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.