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La Green Soul

Bioenergetic Scan & Bioresonance Waiver

Please review and complete this form before your session

By signing below, I acknowledge and agree to the following:

I understand that the bioenergetic scan, bioresonance assessment, and related services provided at this event are non-medical, educational, and informational in nature. These services are designed to offer insight into energetic, stress, and coherence patterns in the body and do not diagnose, treat, cure, or prevent any disease.

I understand that this session is not a substitute for medical care, and I am encouraged to consult a licensed medical professional for any medical concerns, diagnoses, or treatments.

I voluntarily choose to participate and take full responsibility for my physical, emotional, and energetic well-being during and after the session.

I release and hold harmless Diana Pimentel and associated practitioners, staff, and event organizers from any liability related to my participation.

I consent to receiving this session and acknowledge that results may vary from person to person.

Must match your full name exactly

Date: September 13, 2026