Please fill out the below forms and Return it to our email and send a picture of the subject receiving the treatment to our Whatsapp 646-377-0448.

Agreement for Services: Pet Quantum Holistic

The Distance services offered by “IN HARMONY HOLISTIC” are for biofeedback and bio-resonance therapy. It is sometimes referred to as Vibrational Medicine or Energy Medicine. However, the services offered by “IN HARMONY HOLISTIC” are not connected with traditional medicine as practiced by most western medical doctors and hospitals. Traditional medicine is based on biochemistry. Energy Medicine is concerned with biophysics. It is an entirely separate discipline concerned with the correction of energy fields, and with balancing the bio-electric frequencies of the human system.
I agree to undergo Distance Sessions at my own risk. I further indemnify and hold harmless “IN HARMONY HOLISTIC”, “JOSE HURTADO PRUDHOMME” and/or his affiliates, officers, as well as, any successors, assigns and executors, administrators, personal representatives, employees and heirs from any and all results of Distance Therapy or any other modality I receive from “IN HARMONY HOLISTIC” including The L.I.F.E. System (biofeedback therapy) and/or other energy instruments. 


This agreement shall be unlimited as to amount of duration, and it shall be binding upon and inure to the benefit of the parties, their successors, assigns and personal agents and representatives. “IN HARMONY HOLISTIC” technology or personnel do not diagnose, treat, prescribe, or claim to cure any disease.
Clients are advised that they should consult their own medical practitioners and medical professional for the diagnoses, care, treatment, or cure of any health condition. However, it is the intent of the “IN HARMONY HOLISTIC” to promote self-healing through information, biofeedback, frequencies, and emotional support. 


I understand that there are many kinds of energy frequencies that can include emotional, spiritual, and/or physical balancing.


I understand that positive results are not bound by time periods.


I am of legal age or have the agreement of my parent or legal guardian to seek the services of “IN HARMONY HOLISTIC” I am of sound mind and able to make decisions about my own health. 

1) I have read and agree to the fore going. 

2) That the procedure set forth above has been adequately explained to me by this provider.


      3)That I authorize and consent to the performance of the foregoing services. 

 

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