A&H Covid Support Request – Excellence Installations

Name*
Email*
Phone*
Name of the A&H Community Member you are related to?*
Registered Email ID of the A&H Community Member*
What are some challenges , Symptoms and Inconvenience you are facing?*
What are your expected outcomes from this support?*
Terms and Conditions: I recognise this procedure is not an alternative to medical interventions. I Confirm that I am in contact with a medical doctor. I understand that this procedure does not guarantee protection or recovery from COVID and I also understand that this procedure only enhances my mental wellbeing and the unconscious patterning that may result in enhanced result and recovery. I acknowledge that these sessions will be recorded and I consent sessions to release these recordings to general public to promote awareness of this A&H Covid Support.*
- I Agree

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