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I have read and understood the BioPhoenix Inc. program eligibility requirements and contraindications outlined on the Program Eligibility page. I attest that I am 18 years of age or older, that I am a resident of a state where BioPhoenix services are currently available, and that I do not have any of the listed contraindications or medical conditions that would make these programs inappropriate for me. I understand that providing inaccurate information may result in services being declined or discontinued, and that final eligibility determination is made by the licensed medical provider following clinical review.