Pre-Treatment Form

This short form will collect minimal personal information along with your consent to treatment, responses necessary to create confidential patient records and provide safe diagnostic and therapeutic services conducted by Bioresonance BG. The completion of specific and more detailed questionnaires and scales will better inform our therapists and may produce a more targeted approach. Please contact us if you have any questions.
By clicking submit below, or signing the printed version, you consent to allow Bioresonance BG to store and process the personal information submitted above to provide you the content requested.