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  • Intake Form

    We will reach out to you 24-48 hours before your bioscan session begins. Your results will be sent to your email within 72 hours after your session.
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  • DISCLAIMER:

    Please read carefully before continuing.

    Frequency Goddesses provides non-medical, energetic wellness services, including:

    • BIOSCAN energetic assessments
    • Energetic frequency harmonization
    • Informational and educational guidance

    These services are based on energy, frequency, and resonance principles and are not medical diagnostics, treatment, or healthcare services.

    By signing below, you acknowledge and consent to the following:

    1. Nature of Services
    I understand that BIOSCAN technology measures energetic patterns and provides frequency-based balancing.
    These are wellness services, not medical evaluations.

    2. Non-Medical Provider
    I understand the practitioner is not a medical doctor, nurse, therapist, or licensed healthcare professional.

    3. No Diagnosis or Treatment
    I understand that BIOSCAN does not diagnose, prevent, or cure medical conditions, diseases, or psychological disorders.

    4. Not a Substitute for Medical Care
    I agree to seek a licensed medical professional for any symptoms, concerns, or emergencies.

    5. Voluntary Participation
    My involvement is completely voluntary. I may stop at any time.

    6. Frequency Harmonization
    I consent to receiving:

    Non-invasive frequency balancing
    Energetic harmonization
    Headphone-based frequency delivery
    7. Individual Results Vary
    I understand that no specific results are guaranteed.

    By signing this form, I agree to the following:

    1. Assumption of Risk
    I understand that energetic wellness services may influence emotional, physical, or energetic states.
    I accept all risks associated with participating.

    2. Release of Liability
    I release and hold harmless Frequency Goddesses and all affiliates from any liability related to:

    Emotional or energetic responses
    Choices made after receiving information
    Interpretation of energetic findings
    Any real or perceived effects of services
    3. No Guarantees
    I understand no outcomes, improvements, or healing results are promised or implied.

    4. Personal Responsibility
    I am fully responsible for my wellness decisions.

    Frequency Goddesses voluntarily maintains high-level privacy standards.

    Information Collected May Include:
    Name, contact details
    Photos for scanning
    DNA sample (optional)
    BIOSCAN energetic results
    Session notes
    Communications
    Information Will ONLY Be Used For:
    ✔ Conducting Bioscan energetic assessments
    ✔ Providing frequency harmonization
    ✔ Scheduling & client communication
    ✔ Secure recordkeeping

    Confidentiality
    Information will not be sold or shared unless:

    Required by law
    Requested by the client in writing
    Client Rights
    You may request:

    A copy of your scan
    Corrections to information
    Data deletion (where legally permitted)

    As required by North Carolina state guidelines, I acknowledge the following:

    1. Non-Licensed Services
    These services are not licensed by the State of North Carolina.

    2. No Practice of Medicine
    The practitioner does not practice medicine, psychology, therapy, or any licensed healing arts.

    3. Continued Medical Care
    I am encouraged to maintain regular medical care with licensed healthcare providers in North Carolina.

    4. Understanding of Limitations
    I understand these services are complementary, non-medical, and informational only.

    For accurate energetic calibration, please submit one of the following:

    Option A — Upload a clear photo:
    ✔ Plain background
    ✔ Good lighting
    ✔ Face visible

    Option B — Upload a DNA sample (if applicable):
    ✔ Hair sample photo
    ✔ Saliva swab photo
    (Actual DNA must be mailed if required — instructions will be provided.)

    *Only paid subscription members will be able to send in a dna sample.

    This Hold Harmless Agreement (“Agreement”) is made between the named party on this form and Angel Collective, LLC. dba Frequency Goddesses, its owner, employees, contractors, affiliates, and representatives (“Practitioner”).
    1. Nature of Services
    The Client understands and acknowledges that:

    Angel Collective, LLC. dba Frequency Goddesses provides non-medical, energetic wellness services, including Bioscan energetic assessments, frequency harmonization sessions, and educational wellness guidance.
    These services are based on energy and frequency principles, and are not medical, diagnostic, therapeutic, psychological, or clinical in nature.
    The Practitioner is not a medical doctor, licensed clinician, or healthcare provider.

    2. No Medical Claims
    The Client acknowledges that:

    The services offered do not diagnose, treat, prevent, or cure any medical or psychological condition.


    No statements made during sessions or in written materials have been evaluated by the FDA or any medical authority.
    The Client is fully responsible for obtaining appropriate medical care from a licensed healthcare professional.

    3. Assumption of Risk
    The Client voluntarily assumes full responsibility for any and all risks associated with participating in:

    Bioscan energetic assessments
    Frequency harmonization
    Energetic or emotional responses that may occur
    Decisions made based on information received
    The Client understands that results vary and that no guarantees are offered or implied.
    4. Hold Harmless Provision
    The Client agrees to hold harmless, indemnify, and release Angel Collective, LLC. dba Frequency Goddesses and all associated parties from:

    Any and all claims,
    Damages,
    Liabilities,
    Losses,
    Injuries,
    Emotional or physical responses,
    Consequences of actions taken based on session information
    whether foreseen or unforeseen, arising out of the Client’s participation in any service provided.

    This includes, but is not limited to:

    Financial loss
    Emotional distress
    Perceived or actual energetic effects
    Misinterpretation of information provided
    Actions taken or not taken by the Client

    5. No Guarantees
    The Practitioner makes no promises, warranties, or guarantees regarding:

    Outcomes of Bioscan readings
    Energy harmonization results
    Healing effects
    Symptom changes
    Emotional, physical, or spiritual improvements
    The Client understands all services are experimental, informational, and complementary in nature.
    6. Client Responsibility


    The Client agrees to:

    Seek immediate medical attention for any physical or mental health concerns.
    Continue routine medical care.
    Use their own judgment when applying any information received.
    Notify the Practitioner of any discomfort during a session.

    7. North Carolina Compliance
    This Agreement complies with the laws of the State of North Carolina, and acknowledges that:

    These services are not licensed by NC.
    The Practitioner does not practice medicine, psychology, therapy, or any licensed healing arts.
    The Client has been encouraged to consult licensed NC healthcare providers for all medical needs.

    8. Entire Agreement
    This Agreement represents the complete understanding between the parties and supersedes all previous discussions or agreements relating to liability.
    9. Signature & Acceptance
    By signing below, the Client acknowledges that they:

    ✔ Have read this document in full
    ✔ Fully understand and agree to all terms
    ✔ Are voluntarily participating in services
    ✔ Release Angel Collective, LLC. dba Frequency Goddesses from all liability

    By signing below, I confirm that:

    ✔ I have read and understood all sections of this intake form
    ✔ I understand this is not medical care
    ✔ I voluntarily consent to receive BIOSCAN and energetic services
    ✔ I release Frequency Goddesses from liability
    ✔ I accept full responsibility for my participation
    ✔ I understand this complies with State of North Carolina guidelines

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