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BioSync Client Intake & Consent Form

What is Bioresonance?

Biophysicists in the 1920s discovered that every cell in the human body emits energy. This energy can be measured and recorded as a frequency.

Bioresonance therapy utilises these frequencies to identify imbalances and support the body's natural healing processes.

Since then, numerous evidence-based studies have been conducted, and many people have experienced significant improvements. While some suggest a placebo effect, positive results in animals treated with Bioresonance suggest otherwise.

Bioresonance is a non-invasive, energy based approach that supports the body's ability to rebalance and restore itself. It involves scanning the body for energetic imbalances and offering corrective frequencies to support alignment. Bioresonance is not a medical or diagnostic tool, not does it claim to treat, cure, or prevent any disease.

Disclaimer of Services

I understand that the services provided by the practitioner are intended to offer energetic support only. The practitioner does not diagnose, treat, or cure any medical or psychological condition. Bioresonance is not a substitute for medical care and I have been advised to consult my GP or healthcare provider for any medical concerns.

Scope of Practice

The practitioner operates within the scope of energy-based modalities and
personal development techniques, including Bioresonance and Emotional
Release support. These services are complementary to, not a replacement for,
licensed medical or mental health care.

Emotional & Physical Reactions

During or after sessions, I may experience temporary emotional or physical
shifts as part of the body’s natural rebalancing process. These may include
fatigue, heightened emotions, or detox-like symptoms. I understand that these
responses are temporary and part of my own healing journey.

Confidentiality

All information shared in sessions will be kept strictly confidential and stored
in accordance with data protection guidelines. No information will be shared
with third parties without my written consent, unless required by law.

Emergency Medical Clause

Bioresonance and Emotional Release sessions are not suitable in medical
emergencies. In the event of a medical crisis or mental health emergency, I
agree to contact the appropriate emergency services or healthcare providers
immediately.

Results Disclaimer

I understand that results vary from person to person. While many clients
report positive outcomes, no specific result is guaranteed or implied. My
commitment to the process and personal responsibility are key factors in my
overall experience.

Session Format & Fees

All sessions are conducted remotely via Zoom, WhatsApp, or telephone, and
full payment is required at the time of booking. I understand that the session
fee is for the practitioner’s time and energetic support, not for a specific
outcome.

Cancellations

Cancellations must be made at least 24 hours in advance to avoid being
charged in full. Late cancellations or missed appointments will be nonrefundable.

Liability Waiver

I hereby release the practitioner from any and all liability arising from my
participation in Bioresonance and Emotional Release sessions. I accept full
responsibility for my own wellbeing during and after our sessions.

By signing below, I acknowledge that I have read and understood the above information

Client Information

Please fill out the following form.

Date of birth
Day
Month
Year
Address
Preferred Contact Method

Health History

Lifestyle Overview

Do you consume alcohol?
Do you smoke or vape?
Do you exercise regularly?
Do you use any of the following
Rate your current stress level (1–10)
1
2
3
4
5
6
7
8
9
10

Goals & Intentions

Disclaimer & Informed Consent

By signing below, I acknowledge that I have read and understood the BioSync Disclaimer, Scope of Practice, and Informed Consent form. I agree to participate in sessions with full understanding that Bioresonance and Emotional Release support are complementary and not a substitute for medical care.

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