PHOENIX SANCTUM — New Client Enquiry

I understand PHOENIX SANCTUM™ provides wellness services and does not provide medical diagnosis or medical treatment.

I understand frequency-based technologies are supportive wellness tools and outcomes cannot be guaranteed.

I understand I should continue appropriate medical care and seek medical advice where necessary.

I agree to disclose relevant safety considerations before technology is used.

I expressly consent to PHOENIX SANCTUM collecting and handling the health and other sensitive information I provide—including heritage, ethnicity, origin, country of birth, childhood environment and places lived—for enquiry review, understanding my health context, assessing suitability and safety, and determining appropriate support.

I voluntarily engage with the experimental technology at my own risk and agree not to hold PHOENIX SANCTUM™ or its practitioners liable for any outcomes arising from my participation.

I have read the PHOENIX SANCTUM™ Privacy Policy and Terms of Use, Service Terms and Disclaimer and provide my consent.

I am filling this form out on behalf of the client, and as their Legal Guardian I confirm I have read and agreed to the above statements on their behalf

I am a new client and I confirm I have read and agreed to the above statements

No, I do not consent and do not wish to engage PHOENIX SANCTUM™

PHOENIX SANCTUM — New Client Enquiry

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