Research on the Causes of Symptoms Associated with Cancer-Follow-up Research Service Contract

Brigette's Natural Healthcare Research and Laboratory Division

RESEARCH ON THE
CAUSES OF SYMPTOMS ASSOCIATED WITH CANCERS
~If you are currently experiencing a medical emergency, call 911~

Supplemental Virtual Research Project

If you are a Professional Licensed Medical Practitioner and would like to have additional research conducted about natural health remedies associated with cancer,
please complete the following form and submit $5,000 USD payment for services to brigettebrenda@aol.com via Paypal or Dwolla with the following message in bold:

I understand this natural healthcare research service provider (Brigette's Natural Healthcare Academia Research Firm) is to provide me one (1) five (5)-page document to include suggestions to approach the underlying cause(s) of the symptoms I have indicated in the form submission.
I understand this is a natural healthcare research service and a not medical service that diagnoses diseases and/or administers prescription medications.
I further understand there is no refunds and no guarantees associated with the outcome of the research findings.

Once completed form (in English) and payment are received, practitioners will be provided another five-page (5) document within 20 business days of submission to include research findings on how to approach the symptoms related to cancer.

Client Full Legal Name: Title/Occupation:

Contact Information:
To maintain confidentiality, the email above is where your suggestions will be emailed.

Age Group: Gender: Weight: Height:

RESEARCH FOCUSES: Here, specify the focus of the research requesting. If left blank, these factors may not be considered for the findings:

Temperature: Blood Pressure:

Comprehensive Metabolic Panel/Blood Work Results:

Environmental Allergies: Topical/Skin Allergies:

Conventional Medications Intake (Reason/Dose/Frequency) Effect:

Complimentary Remedies/Supplement Intake (Reason/Dose/Frequency) Effect:

Type of Cancer/Tumor (Include Stage/Dimension):

Cancer Has Spread To:

Diagnostic Test: Last Mammogram/CAT/MRI/PET/Bone/Nuclear Scan (State/Date/Results):

Year/Country Cancer Diagnosed by a Licensed Medical Doctor (MD):

Cancer Treatment by MD:

Last Virtual Research Contract Date (from this service provider):

Instructions: Type An Explanation/Focus After Each Inquiry. Do Not Remove the Text in the Textbox:

What are the symptoms after applying the suggestions provided from the prior research findings? Explain.

Looking Back Over Your Life, Explain: (a) Your Primary Achievement: (b) Your Primary Future Goal:

Symptom 1 ~ Stated Last Virtual Session (Explain~Same, Improved, or Worsen/Describe~Location, Duration, Frequency):

Symptom 2 ~ Stated Last Virtual Session (Explain~Same, Improved, or Worsen/Describe~Location, Duration, Frequency):

Symptom 3 ~ Stated Last Virtual Session (Explain~Same, Improved, or Worsen/Describe~Location, Duration, Frequency):

Symptom 4 ~ Stated Last Virtual Session (Explain~Same, Improved, or Worsen/Describe~Location, Duration, Frequency):

Symptom 5 ~ Stated Last Virtual Session (Explain~Same, Improved, or Worsen/Describe~Location, Duration, Frequency):

Symptom 6 ~ New ~ Describe~Location, Duration, Frequency:

By pressing the submit button, I agree to the terms indicated on the Cancer Research~Followup webpage (Brigette's Natural Healthcare Academia Research Firm~hereby known as the "Firm") and with the payment terms. I also certify that all the information presented in this submission is true, and I consent to the use of disclosure of the information submitted for healthcare research services. I acknowledge that the email address provided is secure, and that the Firm cannot and will not be held liable for any breach in the email system or of the information or misinformation transmitted using this electronic platform. I further understand the Firm cannot or will not be held legally liable for any symptoms (prior, current, future) to include symptoms that have been indicated or omitted in this transmission associated with the condition or disease of which is being researched. This Service Agreement and any dispute there under shall be governed by the laws of the State of Georgia, USA.

The Firm's Research Projects: The Firm Would Appreciate Your Participation. Thank You.