Please take a moment to fill out the form.
Declaration- I fully understand the procedure I am about to undergo for Live & Dry Blood Analysis. I accept that the practitioner is not a medical doctor and is not able to diagnose any disease or disease condition. If I have any symptoms of a medical nature I have already consulted or will consult my doctor. I am aware that this treatment does not replace any medical advice already given by my doctor. It is my responsibility to inform the practitioner of any health issues I may have, whether I am taking any medications, and whether I have any infectious diseases that can be transmitted through the blood such as HIV, Hepatitus, e.t.c