Name *

First Name

Last Name

Phone

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###

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Hold Harmless & Sovereign Choice *

I understand Lizzie is not a licensed medical professional. Our work together is to further understand my choices as a person who is sovereign over my own body. I hold Lizzie harmless for choices I make. I understand I can conduct my own research to explore the possible paths to healing we discuss. I will not forgo any necessary medical attention as a result of this process.

I agree

I disagree

I have questions

The Nature of Bioresonance Testing *

I understand that bioresonance testing is one way to understand what is happening in the body. I understand that we treat these scans and assessments with nuance and curiosity as we listen for and discover the whole truth of what is happening in the body.

I agree

I disagree

I have questions

Research *

I understand that Lizzie is conducting research, is consulting with colleagues, and may suggest other practitioners, modalities, and learning to pursue in order to better understand the conditions of my body as a sovereign being.

I agree

I disagree

I have questions

My Authority and Internal Guidance *

I understand the recommendations made by Lizzie are to be considered by me and held up to my own God-given internal guidance system. If I need help honing that internal guidance system, I will ask for help. I will not outsource my authority, but seek to strengthen it.

I agree

I disagree

I have questions

Late Arrival *

We will schedule “session” time, and I understand that if I arrive to our zoom meeting late, I forfeit the missed time. I may request recordings of our meetings, and access to Lizzie’s notes.

I agree

I disagree

I have questions

Providing Information *

I am responsible for providing accurate and thorough information during the intake process and our sessions and communication. I understand I am responsible for being accurate and thorough as well as open to share deep truths. I understand this may require vulnerability, and I’m willing to be uncomfortable in service of truthfulness. I understand that the more information I provide, the better “picture” Lizzie can develop of my situation. I agree to share anything that comes to mind in relation to this process. I understand that events which may seem little can have a big impact and I will keep Lizzie informed as even small things change in my world.

I agree

I disagree

I have questions

The Nature of Frequency Assessments *

I understand that Lizzie’s “intuitive clarification” process, while reliable, is not the be-all/end-all. Both “intuitive clarification” and bioresonance scanning are assessments of frequency, which can change on a regular basis based on my behavior and circumstances. I am willing to see things shift and change. I’m willing to tell Lizzie as things change in my life so assessment can change with it.

I agree

I disagree

I have questions

Freedom to Change My Mind *

I understand that at any time I have the freedom to change my mind, to request a new approach, or to disengage from the process. I understand no refunds or substitution of services are available in such an event.

I agree

I disagree

I have questions

My Intuition *

I understand that my intuition is highly relevant and supremely important in this process. I agree to honor myself and speak my truth, to communicate openly and honestly with Lizzie.

I agree

I disagree

I have questions

Frequency of Communication *

I understand the frequency of communication I can expect from Lizzie during this process. Lizzie will respond to texts and emails at least once every 48 hours.

I agree

I disagree

I have questions

Recommended Remedies *

I understand that recommended remedies may include a variety of modalities and I will ask questions about any aspect I don’t understand, will conduct my own research if appropriate, and am open to trying new things.

I agree

I disagree

I have questions

Willingness to Heal *

I understand that my desire to experience my health as optimal must be matched by a willingness to operate differently. I am willing to let go of illness. I am open to adopting new aspects of my identity and to let old ones fall away. I can honor the process of shedding while embracing the new.

I agree

I disagree

I have questions

Agreement to Engage *

I agree to engage in the Intake process with Lizzie, which is estimated to last approximately 10 weeks (acute) or 12 weeks (chronic), but the timing of which may vary. The intake process contains everything explained above, outlined in the original PDF provided by Lizzie. I agree to pay a discounted total of $450 (chronic) or $350 (acute) for this process. I agree to provide honest feedback as Lizzie hones this process.

I agree

I disagree

I have questions