What kind of user are you? -- What kind of user are you? --ProfessionalPersonal

Business Name

Business Phone

First Name

Last Name

Email Address

Postal Address

State

Postcode

Phone

Weight (kg/lbs)

Height (cm/inches)

Date of Birth - DD/MM/YY

Gender -- Gender --FemaleMale

Referring Practitioner / Health Professional -- Referring Practitioner / Health Professional --Nam BaldwinPhillip BrienGlen GillardCherie GorringeDr Kerry HarrisonSacha HarrisonBetty Hernandez ReamsCraig HewatPeter JacksonAlexandra JoyDavid MarstonCarl MontgomeryChris ProsserCampbell RankinJodie PersovicHeath PodmoreDavid RankinPhillip RankinPhilip SaundersDr Jim SharpsDr Elisa SharpsJo TonkinEngage VROther (please specify in notes)

Important Disclaimer: This MUST BE READ before commencing a RBTI Program. The information contained in this Reams’ Biological Theory of Ionization (RBTI) program is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, available through this RBTI program, is for general educational and information purposes only. Balance Energy Health, (BEH) its administration and Phillip Rankin makes no representation and assumes no responsibility for the accuracy of information contained in or available through this RBTI program. Information contained in the RBTI program includes Phillip’s experience and opinion with no liability, either express or implied, taken by Balance Energy Health. RBTI information is not intended to be nor does it constitute actionable professional advice. It is your responsibility to research the accuracy, and to consult with your physician or professional health care provider as to whether the information can benefit you, and to review all information regarding any medical condition or treatment with your physician. Your continued participation in this program acknowledges you have read, understand and agree with the above DISCLAIMER while taking full responsibility for any and all of your actions that may result from participation in his RBTI program. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY SEEKING MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ, SEEN, HEARD OR ACCESSED THROUGH THIS RBTI PROGRAM.

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