Distant BioField Healing

Thanks for arranging a distant Reconnective Healing/biofield healing session. Before we proceed, please fill out the form below which is the same as that used in our health centre.

Distant Healing Client Information

Please note that all fields followed by an asterisk must be filled in.

First Name*

Last Name*

E-Mail Address*

Street Address

City*

State/Prov*

Zip/Postal Code*

Country*

Phone Number with Country Code*

Year of Birth*

How did you hear about my services?*

Please read the disclaimer below*

I have read and understand the disclaimer.

DISCLAIMER:

I understand that Michael Taylor and anyone associated with this work, inclusive of, but not limited to The Reconnection® and/or Reconnective Healing®, make no claims, promises, guarantees, representations or warranties and are neither diagnosing nor treating specific health challenges.

I am solely responsible for seeing to and continuing with my own medical treatment and care.

I understand that the complete experience of Reconnective Healing includes 3 sessions and The Reconnection.

I also understand that sessions with the Universal Sphere may be repeated as required.