Dr Phil Bate Orthomolecular Pioneer | Volunteers Page featuring Neuroliminal Training (NT) NT does what EEG Biofeedback does at a low cost! |
NT Solves Most Brain Problems Including: ADD/ADHD/Autism Depression, Anxiety Insomnia, Epilepsy And much more that families can afford |
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Volunteers Testing Page Instructions
In orer to qualify for this volunteer test, you have to: This is application form. Copy between these red lines, print out, fill out and email (to both). Name of Patient________________________________________Address
Age____Sex (M/F)___Date_____________ If caretaker is responsible - Name of Caretaker & adress___________________________________________ Diagnosis_____________________By MD Yes__No__ When first diagnosed_______Drugs taken in past/now __________________________________________________________________________________________
By signing this application, I agree to the following terms and conditions: BHT Inc Comments: End of application form Copy between these red lines, print out, fill out and email. Go to http://neuroliminal.com/PFRS.doc and download the Canadian CFS diagnostic form. This is for an initial baseline, and include in above package.
Every two weeks after this, you will receive another email with this form attached for you to fill out and return.
1. Copy, print out, and fill out the application form below. Be sure to sign and return.
2. Download, print, and fill out the symptom questionaire below
3. Pay $50 deposit either by PayPal or check/money order to:
drbate@bellsouth (PayPal)
or (check/money order by mail)
BHT Inc
291 Spring Cicle
Palm Beach Gardens FL 33410
This deposit is to help ensure that data is returned by volunteers, and will be refunded at the end of the 8 week test if the CD package is returned to BHT Inc. (Most previous volunteers preferred to retain the CD packages for continued usage).
4. Download http://neuroliminal.com/PFRS.doc Print it out, fill it out for initial conditions.
Include all above except deposits in emails or mails to:
drbate@bellsouth.net and blakebgraham@gmail.com (include bothaddresses in all emails)
You are advised to keep copies of all the above.
a. I hereby agree to send back bi-weekly accurate reports of data to the best of my ability.
b. In the event that I do not comply with these terms, I hereby agree that I may be held liable for the full price of the NT CD's used herein ($167 for the SMR Plus CD package). I understand that the $50 deposit fee will be refunded in full to me after the 8 week test period upon return of the CD package to:
291 Spring Circle
Palm Beach Gardens FL
33410