Biofield Tuning Intake Form · Primal Coherence

After your session

Everyone is different and will have a unique experience with Biofield Tuning. Most people report feeling clearer, calmer, more relaxed, and more self-aware. Sometimes clients experience:

Profound exhaustion and tiredness, needing to sleep or lay low for a day or more — this generally happens with people who have been running on empty.
Extreme emotionalism or being very aware of formerly masked or buried emotions — crying a lot, or being very angry.
Headaches and/or dizziness.
In very rare instances: skin rashes, mucus, fevers, vomiting, loose stools, excessive thirst.

Generally these symptoms are a clearing process and pass within a day or two. If a condition persists, please reach out — sometimes people can get stuck in the unwinding process and need an additional boost to complete the adjustments.

Post-session care

Hydrotherapy: Drinking plenty of water and herbal teas after your session is recommended. Soaking in a mineral or Epsom salt bath for at least 20 minutes supports the body in detoxifying and releasing physical components from the blockages released from the energy field. It is also beneficial to be well hydrated before a session due to the sound-conductive properties of water.

Grounding: In climates that permit, it is highly recommended to spend some time walking barefoot outside in grass or soil after your session. Connecting the bare feet to the earth helps draw excess energy down and out of the body, drawing the earth's negatively charged ions upward. This helps create a state of electromagnetic equilibrium that can potentially relieve a wide variety of discomforts.

Your information

Full name *

Age *

Date of birth *

Phone *

How did you find me and Biofield Tuning?

What are your goals for our sessions together? *

Health history

Please check any of the following that may apply to you:

Pregnancy or planning to become pregnant
Cancer or terminal illness
Heart condition / pacemaker
Concussion or head injury in the last 6 months
Recent broken bones
Currently taking medications
Other

If you checked any of the above, please provide more information

Electronic signature

I have provided my information to the best of my knowledge, including pertinent health information. By typing my full name below, I am signing this document electronically and confirm that all information provided is accurate and complete.

Type your full name to sign *

Date signed *

I have read the information above and provided my health history accurately and completely to the best of my knowledge. I consent to the use of my electronic signature in lieu of an original signature on paper.

Your submission is sent securely to your practitioner.
Please wear comfortable clothing and remove wearable devices (Apple Watch, etc.) before your session. Let Jane know if you have any medical devices that cannot be removed.

Intake form received 🌿

Thank you — Jane will review your form before your session.
Remember to drink water, wear comfortable clothing, and remove wearable devices.
Questions? Text (443) 254-6762.