Animal Energy RESET©

Animal Energy RESET©

Please complete at least 2 hours before your session.
This is a remote session. No phone, audio, or video calls will be made.
ANIMAL & OWNER INFORMATION
Owner's Name*

First NameLast Name
Email*
example@example.com
Cell Phone Number (US Only):
Used for texting before, during or after the session. You will receive a text from Dr. T's personal cell: 206-356-2345
Specific personal details are needed to program the bio-scanner.
This information will not be used in any other way.
Headshot of owner against a plain background:*

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Owner Gender*
Owner's Height in Inches:*
Owner's Weight in Pounds:*
Owner's Birthdate:*

MonthDayYear
Date
ANIMAL INFORMATION
What is your pet's name, birthdate & age (approximate age if you do not know for sure i.e. rescue)?*
Breed of your animal?*
Photo that includes the head/shoulder image of your animal.*

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Names of the most important people who surround your animal/pet:
What kind of pet do you have?

DogCatHorseOther
If "Other" what kind of pet do you have?
Is this animal a rescue?

YesNo
What challenge(s) or issue(s) are you having with your pet? (check all that apply)

AggressiveAnxietyAnxiousBitingBowel/Bladder ChallengesDepressionDestructive ChewingDigestive IssuesExcessive LickingExcessive ScratchingFear of Being AbandonedFear of ObjectsFood GuardingHistory of AbuseHistory of FightingHistory of StarvingHowlingImmunization ReactionJumpyNervousNeed to DominateNippingPain to TouchPain with MovementPast Negative ExperiencesPost-Surgical IssuesSeizuresSenior ChallengesSeparation AnxietyShy/FearfulSkittishSoreStiffSudden Behavior ChangeTerminally IllVeterinarian Visit ReactionStressedTail is TuckedThrowing UpWhining/CryingWill Not EatOTHERNO BEHAVIORAL OR PHYSICAL CHALLENGES AT THIS TIME
If Senior Challenges or OTHER please describe:
List any other important details you would like to share (health history, significant traumas or experiences):
What is the most important thing you would like to focus on during this session?
Appointment
WELL-BEING STATEMENTS:
- It is understood and expected that I take personal responsiblity for my animal's/pet's & my own well-being.
- I will seek a qualified veterarian for any acute or specific medical health concerns I may have regarding my animal/pet.
DISCLAIMER: The information presented does not medically diagnose, treat, cure, or prevent any disease or psychological disorder. This is not a substitue for medical or veternarian advise. Reported results vary and hold no guarantee ofr your specific results. It is understood and expected that you take perosnal responsiblity for your own well-being.
I have read and agree to the WELL-BEING STATEMENTS and DISCLAIMER. I give you my consent for myself and my animal for this session:

YesNo
During this Animal Energy Reset© session your pet AND the primary people in your animal's life will receive a remote energetic Life Reset© during this session. Your animal's health and well-being is affected by the people that surround them. I will be checking every way possible to support your precious animal/pet.

Do not be surprised if you personally experience new levels of lightness in your body, increased relaxation, and less stress. These are common results of a Life Reset123© session.

KNOW that I will take exceptional care of you and your animal during this session.
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