Informed Consent Form

Human Software Engineer

In order for us to provide the best service possible, please note that:

Your Coach / Consultant is not a licensed healthcare provider. There is currently no licensing that covers this modality. The Human Software Engineer guides you to the energy of your emotion to resolve a reaction around a problem. You are provided with an educational process with an emphasis on promoting wellness and supporting the experience of wholeness.

The information and suggestions that we provide are intended to promote and enhance an integrated functioning of body, mind, emotions and spirit. Such information and suggestions are not intended to address a specific medical condition or diagnosis.

We do not diagnose or treat medical illnesses or diseases nor does he diagnose or treat psychological disorders. The information and suggestions that are provided are not intended as a substitute for diagnosis and treatment by a licensed physician, psychiatrist or psychologist.

If you currently have a specific health complaint, problem or medical diagnosis, it is necessary for you to be under the care of a licensed physician during the time that we will be working with you. We do not recommend that you modify or discontinue any treatment prescribed by a licensed health care provider.

The WaveMaker device utilizes a technology that has been used in Europe for approximately 40 years. It has full regulatory approval of the European Regulatory Organization that is the equivalent of our FDA. The WaveMaker is powered only by 1 1/2 volt “C” batteries using minimal current, and utilizes a very small electronic charge that enables the WaveMaker to pick up and process the ultra-fine electromagnetic oscillations of everything in the body. It can either invert them to cancel out unwanted resonances, or amplify them to strengthen and optimize desirable resonances.

We cannot promise that if you test positive for TB-miasm, that there will only be this one influence that is causing disruptive feelings in you, and that it will be completely gone in one session. Also, we can’t promise that you will experience a dramatic shift, although that has been seen in many clients. There is a very good chance of noticing a shift, especially if you can relate to the possibility that there is some subtle disruptive influence inside of you and you feel less peace of mind than you would consider optimal.

I have read, or have had read to me, the above Consent. I have also had the opportunity to ask questions about its content. By signing below I affirm that I understand and agree to the above stated conditions.

Client Name: ___________________________________________________(Please Print)

Address: ______________________________________________________

Telephone: ____________________________________________________

Email Address: _________________________________________________

Client Signature: ________________________________________________

Date Signed: _______________________________________________