Terms of Therapy

By submitting the Appointment Form, I indicate that I am willing, with full knowledge, to undergo a procedure referred to as bioresonance therapy. Possible reactions are tiredness/headaches which usually subside shortly.

Bioresonance is not intended, implied, or stated to replace any conventional medical test or diagnostic procedure by Medical Practitioners, or prescribed medications and medical care through my physician. At no time can the practitioner guarantee to resolve a current health concern or stipulate a time frame required, however, the recommended therapy usually results in better health.

I understand that the success of the therapy and the time frame required is dependent on the ability of my body to respond to this therapy and compliance with the given advice. The practitioner reserves the right to dismiss any client at any time due to poor compliance with the practitioner’s recommended program.

I have fully read and understood the above information, the elements of my informed consent, my rights and responsibilities, and hereby give consent to receive the bioresonance therapy procedure. By submitting this form I agree that Good Salt Private Limited will store my responses and I can request its deletion at anytime.

I agree to be contacted by email or text message with information about goods and services which may be of interest to me. I may withdraw this consent at any time by emailing Good Salt Private Limited.