Consent for Bio-Energy Testing

Terms and Conditions

The Qest4 system provides a completely non-invasive method for gaining valuable information about your body’s vital functions. The primary objective of the screening is to disclose patterns of stress and provide feedback to assist in developing a program to restore each system and meridian to balance.

• I understand that the Qest4 survey does not provide medical diagnosis and that my testing technician may recommend further medical testing. If I suspect I need further medical intervention, I understand I should consult MY physician. I give my permission for the testing technician to evaluate me on the Qest4. I understand that the testing technician will give me information about myself and make recommendations based on the Qest4 screening. Any decision to follow through with the recommended program is my own decision and I hold the testing technician harmless.

• I understand that I am here to learn about natural health and better lifestyle practices, and I will be offered information about food supplements and herbs as a guide to general health.

• I understand that I should continue to see any medical doctors I am currently under the care of, and that any prescribed medications should not be altered without first consulting the physician who recommended it.

• I fully understand that those who counsel me are not medical doctors, medical practitioners, licensed nutritionists, or licensed naturopaths. I am not here for any medical diagnostic purposes or treatment procedures.

• I will consult with my medical physician to assure any recommendations are compatible with my doctor’s program.

• Information about traditional uses of supplementation that may create a healthy balance in the body may be discussed. This is not intended to be interpreted as a substitute for a licensed physician’s treatment. Nothing said, done, typed, printed or reproduced by us is intended to diagnose, prescribe, treat, or take the place of a licensed physician.

• The intent is to provide educational information for the purpose of assisting you with the lifestyle changes necessary to regain and maintain an environment needed to produce a healthy balanced body.

• I am not on this visit, or any subsequent visit, acting as an agent for the federal, state, county, local law enforcement or news media on a mission of entrapment or investigation.

• I understand that all information and conversations will be kept confidential, and that information concerning myself can be released to another health professional only with my written consent.

• I understand that the Qest4 screening will only identify energetic imbalances and does not diagnose any diseases in the body. The Balancing Item refers to the energetic frequency needed to restore balance to the body. Balancing Items are defined differently from medical terms and are not a cure for any disease.

• I recognize the Qest4 screening is an unorthodox approach to balancing my health. Being of sound mind I have chosen this screening to assist in balancing my health of my own freewill and in exercise of my constitutional right for the attainment of life, liberty and the pursuit of happiness.