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Please describe in detail how you are feeling since completing the previous set of recommendations or receiving the Energy Healing. State any current concerns or conditions you are experiencing.
Have you had any surgeries in your lifetime?
Please describe any surgeries you have had in your lifetime.
Do you take any medications or supplements?
Medications and Supplements
Please list all medications and supplements that you take. Include brand name if possible.
Have you had any vaccinations or shots in the last 20 years?
Please list all vaccinations and shots you have received in the last 20 years.
Energy Test Fee
The fee is $50 and can be paid by E-Transfer or Credit Card.
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