I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Wellness I.Q. Test with Suggestions

&

Solex AO Scan Mobile Consultation Consent Agreement and Liability Waiver

____________________________________________

Participant

____________________________________________

Independent Quantum Living Advocate

_____1. Unless legally licensed as a medical practitioner, I fully understand that the Solex Independent Quantum Living

Advocate who is assisting me with this analysis using AO Scan Mobile, is simply facilitating the technology.

_____2. Unless legally licensed as a medical practitioner, I fully understand that the Solex Independent Quantum Living

Advocate who is assisting me is prohibited from diagnosing or treating any disease, condition, or illness by prescribing

medication, offering medical advice, conducting surgery, or providing any other medical services.

_____3. I fully understand that the AO Scan Mobile analysis is strictly educational in nature and does not diagnose, treat,

cure, or prevent any disease.

_____4. I fully understand and acknowledge that the AO Scan Mobile uses subtle energy, frequencies, vibration, and

resonance to interact with the body’s energy field and measure my body’s response. When it encounters imbalance, it

reports those imbalances to me and helps optimize my wellbeing by identifying frequencies that may restore balance.

_____5. I fully understand that the analysis provided by the AO Scan Mobile is leading-edge technology and is not yet

generally accepted by conventional health care professionals. An AO Scan Mobil analysis is not covered by medical

insurance.

_____6. I fully understand that any payment for an analysis is expected at time of service, unless otherwise arranged prior

to my session.

_____7. I acknowledge that no national regulatory body has evaluated any statements made regarding the AO Scan

Technology. AO Scan Technology is not intended to diagnose, treat, cure, or prevent any disease.

_____8. I affirm that I am acting of my own free will and according to the dictates of my own conscience to experience an

AO Scan Mobile Analysis.

_____9. I affirm that I do not represent, nor am I an agent for any state or federal regulatory agency.

_____10. I affirm that I am requesting this analysis for myself and not for legal recourse.

_____11. With the acceptance of this consent agreement and liability waiver, I hereby waive and release myself and my

heirs, executors, and administrators, from any and all claims of any nature whatsoever and do hereby acknowledge that I will

use the services provided at my own risk. I confirm that I have given accurate legal direction and that I am of legal age

or guardian.

Clicking is, indicating that you have read, understand, and agree with the statement.