Intake Form
Language
  • English (UK)
  • Español
  • New Client Intake Form

    Please complete to the best of your ability. If there are questions that you would prefer not to answer or you do not know the answer then just leave them blank. We will review your submission and get in contact as soon as possible.
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  • Contact Information

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  • Health Information and History

  • If you have a current health condition, or have been diagnosed with one in the past, (eg. heart disease, diabetes, cancer, etc...) 

    Please list here in as much detail as possible making a distinction between what you are currently experiencing and what may be important to know from your past health history. How long have you been struggling with the issue(s)? 

  • Please indicate if you are CURRENTLY experiencing any of the following,

  • **To share Medical Images, Blood Tests & Other Documents that you believe will be helpful for Johnny while reviewing your case, please send directly to our e-mail themedicalhealer@gmail.com **

  • Health Assessment and Medical Information

  • Home Environment

  • Johnny Batterson works as a practitioner in energy-based healing and is not a medical doctor or licensed healthcare provider. Results will vary from person to person.

    This work requires commitment. By moving forward, you understand the importance of completing recommended sessions and following the guidance given. Your results are influenced by your openness and consistency throughout the process.

    To keep the work clear and effective, Johnny does not work alongside other energy practitioners or undisclosed treatment plans, as this can affect the sessions.

    You agree to approach this work with respect and genuine intent. Any attempt to harm others or Johnny himself, or engage in negative practices, will affect the sessions and prevent the work from supporting your desired outcome.

    You understand that excerpts from sessions, messages, or feedback you provide may be used for educational or promotional purposes. Everything is handled with care and remains anonymous unless you’ve given permission otherwise.

    You agree that any results experienced through this work will not be attributed to other practitioners or used to promote personal or external services in a way that misrepresents the source. If this occurs, we may end the working relationship and take further action if needed.

    By proceeding, you confirm that you are choosing to take part of your own free will. All services are non-refundable. While every effort is made to support you, results can’t be guaranteed. You accept full responsibility for your participation and release Johnny Batterson, The Medical Healer International, and associates from any liability, claims, or damages connected to your involvement.

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  • Thanks for taking the time to complete this intake form.

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