Research on the Causes of Symptoms Associated with PTSD-Research Service Contract

Brigette's Natural Healthcare Research and Laboratory Division

RESEARCH ON THE CAUSES OF SYMPTOMS
ASSOCIATED W/ POST-TRAUMATIC STRESS DISORDER (PTSD)
"SHELL SHOCK"
~ UNIFORM SERVICE MEMBERS ~
~If you are currently experiencing a medical emergency, call 911~

Initial Virtual Research Project

If you are a Professional Licensed Medical Practitioner and would like to have research conducted about natural health remedies associated with PTSD,
please complete the following form and submit $5,500 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 a five-page (5) document within 20 business days of submission to include research findings on how to approach the symptoms related to PTSD.
If the practitioner desires further research, click here:

Client Full Legal Name: Current Title:

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

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

Select One:

Military Branch: MOS (Name):
Police Department: Duty Hours:
Fire Department: Duty Hours:
Service Department: Foreign Duty Post:

Age Group:    Gender:     Weight:     Height:     Eye Color:

Blood Pressure:

Food Allergies:     Medication Allergies:

Medications (Dose/Frequency) Effect:

Supplements (Dose/Frequency) Effect:

Medical History:

PSTD Origination: War Zone: Other Trauma:

Year PSTD Diagnosed by a Licensed Psychiatrist/MD):

Recreational Habits (Alcohol/Tobacco/Street Drugs/Frequency):

Food Consumption Preference: Vegetarian, Vegan, Semi-Vegetarian/Pescetarian, Omnivore (select one):

Family Medical History:

Instructions: Type Your Explanations After Each Question. Do Not Remove the Text in the Textbox:

Symptom 1 ~ Physical (Describe~Location, Duration, Frequency):

Symptom 2 ~ Mental (Describe~ Duration, Frequency):

Symptom 3 ~ Emotional (Describe~ Duration, Frequency):

Symptom 4 ~ Other (Describe~Location, Duration, Frequency):

Symptom 5 ~ Other (Describe~Location, Duration, Frequency):

By pressing the submit button, I agree to the terms indicated on the PTSD Research 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.

(yoga form)

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