Agreement for Services (RELEASE FORM)

The Quantum Distance Healing services offered by Quantum Wellness Centers, Inc. are for bio-feedback and bioresonance therapy. It is sometimes referred to as Vibrational Medicine or Energy Medicine. However, the services offered by Quantum Wellness Centers, Inc. are not connected with traditional medicine as practiced by most western medical doctors and hospitals. Traditional medicine is based on biochemistry. Energy Medicine is concerned with biophysics. It is an entirely separate discipline concerned with the correction of energy fields, and with balancing the bio-electric frequencies of the human system.

I agree to undergo Quantum Distance Healing at my own risk. I further indemnify and hold harmless "Quantum Wellness Centers, Inc.," Allan Schulte and/or his affiliates, officers, as well as, any successors, assigns and executors, administrators, personal representatives, employees and heirs from any and all results of Quantum Distance Healing therapy or any other modality I receive from Quantum Wellness Center including QXCI, bioresonance and/or other healing instruments.

This agreement shall be unlimited as to amount of duration, and it shall be binding upon and inure to the benefit of the parties, their successors, assigns and personal agents and representatives.

Quantum Wellness Center’s technology or personnel do not diagnose, treat, prescribe or claim to cure any disease.

Clients are advised that they should consult their own medical practitioners and medical professionals for the diagnosis, care, treatment or cure of any health condition.

However, it is the intent of Quantum Wellness Center to promote self-healing through information, biofeedback, healing frequencies and emotional support.

I understand that Quantum Wellness Centers, Inc. is not a medical practice, does not claim to heal illnesses, and will not guarantee any healing outcome that may result from their services.

I understand that there are many kinds of healing that can include emotional, spiritual, and/ or physical healing.

I understand that healing is not bound by particular time periods.

I am of legal age or have the agreement of my parent or legal guardian to use the services of Quantum Healing Centers, Inc.

I am of sound mind and able to make decisions about my own health.

1.) I have read and agree to the fore-going; 2.) that the procedure set forth above has been adequately explained to me by this provider, and 3.) that I authorize and consent to the performance of the foregoing services.

Please select the Accept Button on the Book Sessions web page to acknowledge and agree to this agreement and to continue with booking your session.