Please Complete These Two Forms

Before Your Consultation

1. Health History form

Share a brief overview of your current symptoms, past medical history, surgeries, diagnoses and anything you’d like support with.

This helps me understand your background so we can make the most of your session.

2. essential client Data

Please complete the Essential Client Data Form before your session.

These details allow the Biofeedback system to personalise your 7,000-item Wellness Scan and deliver accurate electromagnetic feedback.

This step is essential for me to run your scan correctly.

All information is confidential, encrypted, and used solely for your session.

points to note

Please bring any medications or supplements you are currently taking so we can check their potencies and suitability.

You don’t need to remember everything discussed during your scan — I will email your findings afterwards, including key insights and recommended next steps. If ongoing support is needed, I’ll guide you to the most suitable programme.