Biofield Tuning Intake Form

Before scheduling a session, please read the Cautions and Guidance section on the Biofield Tuning FAQ page and information on post session care.

If you do not have any of the contraindicated conditions and would like to proceed with scheduling, please fill out this form. Current clients also need to fill out this form in order to give consent for Biofield Tuning sessions.

Choose all that apply.
*Energy medicine is a collective term used that refers to a variety of energy techniques, processes, and methods based on the use, modification, and manipulation of energy fields that look at imbalances within an individual’s energy system as well as the energetic influence of thoughts, beliefs, and emotions on the body.
(or Parent/Guardian if client is under 18)