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My Bioenergetics Substance Incompatibility Form Client Code Form: BSI..... Practitioner Code 12345678 Use Additional Pages if Necessary. Mark them Page I, II, III, IV, etc. Above: Office Use Gender
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Your bioenergetic substance incompatibility refers to the inability for certain substances to interact positively with your body's energy system.
You or your healthcare provider are required to file your bioenergetic substance incompatibility.
You can fill out your bioenergetic substance incompatibility by providing detailed information about the substances that cause a negative reaction in your body.
The purpose of your bioenergetic substance incompatibility is to raise awareness of substances that may be harmful to your body's energy system.
You must report information about the specific substances that trigger negative reactions, as well as any symptoms or side effects experienced.
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