Pre-Treatment Form

The following form is required to gather as much detail as possible. Please take your time to read through all the questions and answer correctly. Some questions may seem personal or irrelevant to you but they are essential in gathering clues to get the best outcome for your Bioresonance therapy.

Contact Us
You may contact us by filling in this form any time you need professional support or have any questions. You can also fill in the form to leave your comments or feedback.
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