Patient Information

Patient Name*

BEMER Mat Therapy & Consent Form

BEMER Cardiovascular Mat - Increases the electro-magnetic energy of all the cells, improving the circulation and oxygenation of the tissues. This encourages each cell in the body to function optimally, and to correct metabolic and energetic abnormalities. The BEMER has a special patented signal that penetrates the entire body interacting at the cellular level.

All vital processes, particularly the metabolism of each single cell, are based on electromagnetic energy. The self-regulating and self-healing powers of the cell only function in an organism sufficiently supplied with energy. Modern Western lifestyles and pollution lead to a detrimental energy balance and impairment of the metabolism. The results are a decrease in vitality, degenerative processes, chronic diseases and greater susceptibility to infectious agents.

By the application of specially designed electromagnetic impulses, called Pulsed Electro-Magnetic Therapy (PEMT), the cells can produce more energy and the metabolism is activated. Disturbed control systems function again, and self-healing powers are supported.

In fact, applying an electromagnetic field to the body can help almost any condition. The human body is created in such a way, that if it has a sufficient supply of energy, it can compensate for illness by self-regulation and self-healing. Each form of illness has, at its foundation, an energy deficit. Most of us suffer from lack of vitality, which is due largely to environmental stresses, overwork, poor nutrition or lack of exercise.

With Bio-Electro-Magnetic-Regulation (BEMER), you can now do something to correct this lack of energy within each cell in the body. The therapy is applied by means of mat upon which you lie, while a pulsed magnetic field envelops you. It is entirely painless and free of side effects. It originates in Germany, has been scientifically validated in many studies, and has won international acclaim for advances in Technology.

The are not intended to diagnose, treat, cure, or prevent any disease. Furthermore, none of the statements should be constructed as dispensing medical advice, making claims regarding the cure of diseases, nor can these products prevent or cure any disease state. You should consult a licensed health care professional before starting any health protocol or any health device such as BEMER, especially if you are pregnant or have any pre-existing injuries or medical conditions. However, the current BEMER device generation is registered with the DFA as a Class I medical device and is marketed as a general wellness product. By signing your name below, you are stating that you are in agreement with all of the above information.

Benefits of BEMER Mat Therapy

  • Arthritis
  • Herniated Discs
  • Back Pain
  • Diabetes
  • Fatigue
  • Peripheral Arterial Disease
  • Polyneuropathy
  • Torn Ligaments
  • Bone Fractures
  • Sprains
  • Rheumatism
  • Insomnia
  • Stress
  • Wound Healing
  • Colds

I have read, initialed, and acknowledged these requirements, of my procedure to better assist with treatment adversities that can occur if protocol is not taken seriously. I know that this is an elective service and my questions regarding services have been answered satisfactorily. I understand this procedure and accept all risks and will notify TNP of any changes that could put my treatment at risk, I hereby release The Natural Place, Dr. Copeland, Dr. Buford & Bridget Hahn and staff from all liabilities associated with the indicated procedure.

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