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Texas State Exemption Page
VacLib.org & VaccineTruth.net Exemption Page |
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New Born Issues:Click for the desired information for your state Statutes/Laws | NewBornBirthingPlan&BirthExemptions | Waivers_CareInSigning | Letters_Forms_Affidavits School-Daycare-Preschool Issues: Schools [all] | DayCare | Preschool | K-12 | College | (options)_OptOutRegistry | Adult Issues: Employment | TB_and/or_LeadTesting | Statutes/Laws | Waivers_CareInSigning | Misc_Info, Sponsors, etc. |
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Statutes/Laws
Link to state law.National Vaccine Information Center: Link to state law. For additional help with exemptions, birth plan,etc questions: Non_Vaccinating_Physicians Check our Vaccination Liberation State Chapter and other resource organizations page for help in your state. If your state specific help is not available, Contact us. Available Exemptions Medical & Religious & Philosophical An affidavit signed by the applicant or, if a minor, by the applicant's parent or guardian stating that the applicant declines immunization for reasons of conscience, including a religious belief. A form must be obtained at the Health Department. This same exemption form is also sufficient for Gardasil Opt-Out Click Here |
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PDF documents (.pdf) A PDF reader is required for PDF Files: Free Foxit Reader 12 MB file size. Or Free Download of Acrobat Reader: [Adobe. 43 MB file size] |
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NewBorn Birthing Plan and Birth Exemptions
BirthExemptions |
Birthing_Plans |
Vitamin_K |
Hepatitis_B |
Eyedrops |
Newborn_ScreeningBirth Exemptions: For those who are planning a hospital birth but want to evade invasive routine post natal procedures such as a Hep B shot, vitamin K injection, newborn screening, or the application of silver nitrate in the newborn's eyes, a very specific birthing plan must be submitted to the hospital in advance of the birth. Hospital staff must be informed, in advance, of your needs, wants and desires where your baby and birthing experience are concerned. The same applies to midwives. Steps:
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Birth Plans (To be used with hospitals and/or midwives) (Links to model birth plan letters) Model Birth Plan Letter for Hospital Births. You can attach an exemption from immunizations. In some states, there are religious exemptions from newborn screening tests such as PKU, etc... Information on the Dangers of Hospital Birth and the Benefits of Home Birth from gentlebirth.org Our best and most itemized birthplan: (.pdf) birthplan-itemized.pdf(HTML) BirthPlan-Itemized for reading on screen. Includes handy small dictionary of terms in the document. Model Birth Plan Letter for Hospital Births. This one is more detailed. Model Birth Plan Letter for Hospital Births for an adopted child... Model letter for hospital births for adoptions -- Dear Doctor and Medical Staff.doc (11427)
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It would be good idea to use the AFFIDAVIT below AND a model birth plan letter from above.
Affidavit - Birth Exemptions
HTML (simple text) Affidavit to modify. AFFIDAVIT in Microsoft Word Replace the paragraph (near bottom of page 1) of the generic AFFIDAVIT above with your state law as follows: [Make sure you replace with your name, status, and name of child.] (We / I) {First and Last name(s)}, as the {(parent (s) / guardian(s)} of ______________________(name of newborn child) are exercising (our/my) rights under the First Amendment of the US Constitution, Tex. Health & Safety Code Ann. § 33.012, and Texas Administrative Code §37.54, to receive Religious Exemption from Vaccination, ALL injections, & testing. If your Title and Paragraph number of your state law is not pasted above, click here for the link to your state law. |
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Vitamin K Injection... The prescribing information on Vitamin K shot states that fatalities are an adverse reaction according to the Merck pharmaceutical package insert. http://fdb.rxlist.com/drugs/drug-9003-Aqua-Mephyton+Inj.aspx?drugid=9003&drugname=Aqua-Mephyton+Inj "The injectable form of vitamin K can rarely cause severe (sometimes fatal) allergic reactions when given by injection into a muscle or vein. Therefore, vitamin K should be injected into a muscle or vein only when it cannot be given by injection under the skin or taken by mouth, or when your doctor has judged that the benefit is greater than the risk. Seek immediate medical attention if you experience symptoms of an allergic reaction such as rash, itching, swelling, dizziness, or trouble breathing."Potential exists for the newborn to experience hypersensitivity to any component of this medication. Each milliliter contains: Phytonadione ............. 2 mg or 10 mg Inactive ingredients: Polyoxyethylated fatty acid derivative ................... 70 mg Dextrose...................................................................... 37.5 mg Water for Injection, q.s. .................................................. 1 mL Added as preservative: Benzyl alcohol ...................... 0.9% Links to prescribing information for Vitamin K: http://vaclib.org/chapter/inserts.htm#vitK Archive: Year 2002 Merck Vitamin K Package Insert - Aquamephyton PI | posted on Scribd Alternatives to Vitamin K Prophylaxis... Although oral vitamin K is not licensed for use as a drug by the FDA, drops for oral administration are available. Typically, one drop contains 2 mg. of vitamin K. Contact a midwife in your area, or a birthing supply company (such as birthwithlove.com), or Scientific Botanicals (206 527-5521) where your health care provider can order liquid vitamin K directly. Here's another much safer alternative that your chiropractor or naturopath can order for you. Or order directly from Amazon.com Biotics Research, Bio-K Mulsion - 1 fl oz A good organic whole food diet along with lots of leafy green vegetables is all that is necessary to prevent vitamin K deficiency in newborns. |
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Texas: Hepatitis B Vaccine Regarding Hep B vaccine at birth, here's what to watch out for... Subj: RE: birth statute for Hep B vaccine exemption Date: 8/11/2005 8:46:19 PM Pacific Daylight Time From: prove vaccineinfo net To: Services4Health aol com Sent from the Internet (Details) There is NO statute requiring hep b at birth just 3 doses of hep b by kindergarten and then they have the conscientious exemption. They can just say no at birth but they have to be careful not to sign a consent form buried in the admission paperwork. Theyll never bring it up if someone signs that they just give the shot and most parents never realized they signed it. Even people who have said no still have realized their kids got the shot when they get the bill. I tell parents have someone you trust there to stay with the mom and the dads job is to follow that baby everywhere and never let it leave their sight until they are out of the hospital. ------------------------------------------------------------------- Dawn Richardson PROVE(Parents Requesting Open Vaccine Education) prove vaccineinfo net (email) http://vaccineinfo.net/ (web site) (512) 288-3999 General information: Hepatitis B Vaccine Most states now require the Hepatitis B vaccine for newborns. Many parents are also cornered by emergency room personnel during accident visits. Hospitals nationally are under pressure to utilize every opportunity to score a "hit." If your pediatrician understands your views, get him involved with the hospital. As a last resort, protect your right to receive quality care in by asking hospital personal to sign the following waiver. Usually, you'll never find anybody in the hospital to sign this simple form, but you well get relief from demands to vaccinate your child. "I certify that the (Name of Vaccine)________ vaccine being administered to (Name of Child)_________ is free from all known and yet unknown zoonotic or human viruses or viral fragments and will not cause acute or chronic illness in the recipient due to viral contamination or as a reaction to the components of this vaccine. (Signature of Physician and Date)_________." If you do get a signature, hold on to the form. See Birth Plans for more information on avoiding Hep B Vaccination at birth |
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Eyedrops Some states require Prophylaxis against Gonococcal OPHTHALMIA NEONATORUM. A discussion of medical and legal issues regarding Silver Nitrate in the eyes of the newborn is here: PDF file: Statutory Law USA: Requiring Silver Nitrate in Eyes of Newborns at: http://www.rbs2.com/SilvNitr.pdf Written by Dr. Ronald B. Standler, attorney in Massachusetts and consultant Blog type discussion of pros and cons of eyedrops for newborn is here: http://answers.google.com/answers/threadview/id/20050.html |
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New Born Screening Religious Exemption from newborn screening allowed. Tex. Health & Safety Code Ann. § 33.012 Texas Administrative Code §37.54 Exemption from Screening Texas Administrative Code TITLE 25 HEALTH SERVICES PART 1 DEPARTMENT OF STATE HEALTH SERVICES CHAPTER 37 MATERNAL AND INFANT HEALTH SERVICES SUBCHAPTER D NEWBORN SCREENING PROGRAM RULE §37.54 Exemption from Screening A newborn may not be screened if either parent, the managing conservator, or guardian objects to the screening tests because the screening tests conflict with the religious tenets or practices of either of the parents, the managing conservator, or guardian. Source Note: The provisions of this §37.54 adopted to be effective February 2, 1989, 13 TexReg 6268; amended to be effective December 17, 2002, 27 TexReg 11744 General Information for USA on Screening U.S. states now require screening of newborn babies for specific diseases. Conditions and legal status of "requirement" of newborn to be screened for each state: National Newborn Screening Status Report - http://genes-r-us.uthscsa.edu/sites/genes-r-us/files/nbsdisorders.pdf Newborn Genetic Screening Privacy Laws (includes links to laws for various states) ncsl.org/IssuesResearch/Health/NewbornGeneticandMetabolicScreeningLaws/tabid/14416/Default.aspx Newborn screening From Wikipedia, the free encyclopedia http://en.wikipedia.org/wiki/Newborn_screening Federal NewBorn Screening Law (from Families of Spinal Muscular Atrophy) http://www.fsma.org |
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Waivers - Take Care In Signing
If you take your new baby to an MD as opposed to a naturopath and/or
chiropractor, please be aware of and careful of any forms you sign.Our WARNING below is about signing (some) state approved and AAP created forms. See this letter from our director, Ingri Cassel, before you consider signing waiver forms. WARNING! A modified AAP form is posted here that you may wish to use with your doctor: AAPmodified.htm AAPmodified.doc MSWord .DOC file | AAPmodified.pdf PDF file, best for printing. Not all State employees are aware of the law and many exhibit the Hitler Complex. Take a firm stand. Some individuals have had difficulty getting the required forms. Such arrogance on the part of State employees should be reported to the Director of your state Department of Health.
See:
AnaiRhoads.org Why Signing a Waiver to Avoid Vaccines Can Be Considered Abuse |
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Letters Forms Affidavits
Links to Model birth plan letters (above).Link to Refusal to Permit Medical Treatment form Links to Affidavit - Birth An Adult Affidavit, with Christian beliefs, is here. (MSDOC file) Feel free to modify as needed. Dr. Tenpenny has the following forms on her web site. The forms are generic and may be used in any state. Affidavit for Parents Participating in International Adoption (Word) (pdf) Hep B vaccine in hospital for newborn refusal, sample (pdf) OSHA Declination Statement Form (also, pdf) Religious exemption letter that was approved in Florida (Word) (pdf) School Vaccine Exemption Form, sample (Word) (pdf) TB testing refusal, sample (pdf) Childcare and School Immunization Requirements http://drtenpenny.com/forms/ Sample Vaccine Letters. from www.vaccines.bizland.com/letters.htm archived on VacLib.org/letters/doctor.htm Short Sample Vaccine Letter Most states now require the Hepatitis B vaccine for newborns. Many parents are also cornered by emergency room personnel during accident visits. Hospitals nationally are under pressure to utilize every opportunity to score a "hit." If your pediatrician understands your views, get him involved with the hospital. As a last resort, protect your right to receive quality care in the following manner. (Usually, you'll never find anybody in the hospital to sign this simple form): "I certify that the (Name of Vaccine)________ vaccine being administered to (Name of Child)_________ is free from all known and yet unknown zoonotic or human viruses or viral fragments and will not cause acute or chronic illness in the recipient due to viral contamination or as a reaction to the components of this vaccine. (Signature of Physician and Date)_________." If you do get a signature, hold on to the form. The ACCEPTANCE OF RESPONSIBILITY is imperative in exercising your rights for legal exemptions from forced medical experimentation and legalized bioterrorism. DO be prepared to fight for your baby's rights! An index page to various Acceptance of Responsibility) forms is here: . http://www.vaclib.org/legal/accept.htm Religious exemption forms will be listed below under Daycare Schools Colleges |
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DayCare - Preschool - Schools - Colleges
DayCare-Preschool-K-12-CollegesDayCare | Preschool | K thru 12 | Colleges
DayCare Same form as schools. See Texas forms below.
Preschool Same form as schools. See Texas forms below.
Kindergarten & Schools See Texas forms below. Texas Forms
State Form Required: Yes.An affidavit signed by the applicant or, if a minor, by the applicant's parent or guardian stating that the applicant declines immunization for reasons of conscience, including a religious belief. A form must be obtained at the Health Department. § 42.043(d)(2) is the exemption code. § 42.043. RULES FOR IMMUNIZATIONS. (d) No immunization may be required for admission to a facility regulated under this chapter if a person applying for a child's admission submits one of the following affidavits: (1) an affidavit signed by a licensed physician stating that the immunization poses a significant risk to the health and well-being of the child or a member of the child's family or household; or (2) an affidavit signed by the child's parent or guardian stating that the applicant declines immunization for reasons of conscience, including a religious belief. (d-1) An affidavit submitted under Section (d)(2) must be on a form described by Section 161.0041, Health and Safety Code, and must be submitted not later than the 90th day after the date the affidavit is notarized. NOTE: The TDH state affidavit form can also be used to opt-out of Gardasil HPV vaccine. Vaccination Liberation information on Gardasil HPV vaccine. Frequently Asked Questions Concerning the Conscientious Exemption Sample letter to send for state form in pdf... (.pdf) http://www.dshs.state.tx.us/immunize/docs/sample_letter.pdf Another pdf sample letter... (.pdf) http://www.neisd.net/health/documents/SAMPLE_LETTER_Reason.pdfSample letter to send for state form in Microsoft Word... (.doc) http://www.dshs.state.tx.us/immunize/docs/sample_letter.doc Appendix A - Forms for School Spinal Screening AFFIDAVIT OF RELIGIOUS EXEMPTION - On Page 9 DECLARACIÓN JURADA DE EXONERACIÓN RELIGIOSA - On Page 10 (.pdf)
http://www.dshs.state.tx.us/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=8589958769
Colleges/Universities
Here's the code... § 51.933. IMMUNIZATION REQUIREMENTS; (d) No form of immunization is required for a person's admission to an institution of higher education if the person applying for admission: (1) submits to the admitting official: (A) an affidavit or a certificate signed by a physician who is duly registered and licensed to practice medicine within the United States in which it is stated that, in the physician's opinion, the immunization required poses a significant risk to the health and well-being of the applicant or any member of the applicant's family or household; or (B) an affidavit signed by the applicant or, if a minor, by the applicant's parent or guardian stating that the applicant declines immunization for reasons of conscience, including a religious belief; or (2) is a member of the armed forces of the United States and is on active duty. (d-1) An affidavit submitted under Section (d)(1)(B) must be on a form described by Section 161.0041, Health and Safety Code, and must be submitted to the admitting official not later than the 90th day after the date the affidavit is notarized. (e) The exception provided by Subsection (d)(1)(B) does not apply in a time of emergency or epidemic declared by the commissioner of public health. a written AFFIDAVIT for Texas Adult (college religious exemption) is below ... You may use this one if a college or university is asking for a written affidavit from you instead of the state issued affidavit from Dept.of Health. Edit as needed to reflect your beliefs...
An Adult Affidavit, with Christian beliefs, is here. (MSDOC file)
Feel free to modify as needed.
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OptOutRegistry for Vaccines
Vaccine Registry Opt-Outs:and various other Opt-Outs KNOW YOUR RIGHTS Confidentiality of Your Child’s Vaccination Records FERPA: The Family Educational Rights and Privacy Act http://www.vaxchoicevt.com - - - - Other Opt-Outs - - - -: Birth Certificate and Marriage License Opt-Out: Did you know that you can REFUSE to sign the hospital birth certificates and that there is no law that requires you to do so? See: Marriage Licenses, Birth Certificates & #SSNs Military Recruiters: STUDENT OPT OUT FORM regarding the RELEASE OF NAME, ADDRESS, AND TELEPHONE NUMBER TO MILITARY RECRUITERS (.pdf) http://www.militaryfreeschools.org/PDF/optout2.pdfUNDERGROUND ACTION ALLIANCE STUDENT OPT OUT FORM SAMPLE ENGLISH - BILINGUAL FORMS FOR OPTING OUT Act to Protect Your Privacy from Military Recruiters Information links and forms at AFSC site STUDENT OPT-OUT - Google Search STUDENT OPT-OUT NOTICE regarding the instruction of sexuality to children: STUDENT OPT-OUT NOTICE Valid in all 50 states (.pdf) http://www.catholiccitizens.org/content/img/f26422/opt%20out%20notice.pdfSTUDENT OPT-OUT NOTICE - Google Search |
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Employment
An Adult Affidavit, with Christian beliefs, is here. (MSDOC file)
Feel free to modify as needed.
Most employers should provide the OSHA Hepatitis B Declination Form for Hep B vaccine. Texas Department of Aging and Disability Services Consumer Directed Services Occupational Exposure to Bloodborne Pathogens-Hep B Vaccine Decline Form (.pdf) http://www.dads.state.tx.us/forms/1727/1727.pdf (.doc) http://www.dads.state.tx.us/forms/1727/1727.docTHE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO Revision November 2004 HEPATITIS B VIRUS ACCEPTANCE OR DECLINATION FORM (.pdf) http://research.uthscsa.edu/safety/hbvform.pdfOSHA Standard Interpretations 09/23/1997 - The Bloodborne Pathogen Standard and the Enforcement Procedures for TB. "Finally, be aware that participation in the employer's skin testing program is voluntary on the part of the employee. OSHA does not require that employees participate in TB skin testing, only that the employer make such skin testing available to employees."See TB Testing for more information. USGS U.S. Geological Survey (Nationwide) Hep B Vaccine Declination Form on page 3 (.doc) http://www.usgs.gov/usgs-manual/handbook/hb/445-2-h/app24.doc
US Fish and Wildlife Service Form 3-2283 Hepatitis B Immunization Consent/Refusal Form (.pdf)
http://www.fws.gov/forms/3-2283.pdfClick here for an Affidavit for Adult (college & employment religious exemption) ... Edit as needed... |
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TB and/or Lead Testing TB-Links/Exemptions Generic letter for Exemption to TB Testing: HTML (text): Exemption-tb-test.html MS Doc file: Exemption-tb-test.doc OSHA Standard Interpretations 09/23/1997 - The Bloodborne Pathogen Standard and the Enforcement Procedures for TB. "Finally, be aware that participation in the employer's skin testing program is voluntary on the part of the employee. OSHA does not require that employees participate in TB skin testing, only that the employer make such skin testing available to employees." TB and Lead Testing Links: F L Y E R LETTER Exemption_Letters OSHA_and_TB_test Tubersol Treatment TB_Screening Alternatives/QuantiFERON_TB_Gold_testimony The above TB and Lead exemption letters are courtesy of Deirdre DeVane of Wash DC. Thank you Deirdre! The adult TB letters were edited by Sherri Tenpenny. Thank you Sherri! TB can be detected by biofeedback machines that are hooked up to a computer, such as the QXCI, Best BioMeridian MSAS (Meridian Stress Assessment) or Electro Dermal Screening, Quantum Life System, and the F-Scan. You will need to ask specifically for a pathogen scan, especially TB. You will also need to request a printout with the results. See QXCI-BioMeridian Providers, etc below |
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Misc Info - Sponsors - Etc.
Here are some of the practitioners for TexasTexas BEST BioMeridian Practitioners: Longevity Institute Dallas 7777 Forest Lane, Suite C-538 Dallas, TX 75230 (972) 566-4890 (877) 489-0489 MSA (meridian stress assessment) MSA is a method for assessing sensitivities and toxicities based on the use of acupuncture meridians and acupuncture points, using an ohmmeter to determine skin conductivity of electricity in the body. MSA is considered as a Bioenergetic Medicine Device similar to Electrocardiograph, Light Meter, CAT Scan, Electroencephalograph, etc. MSA measures the alteration in the flow of the force of energy that creates physical imbalance. Massie Family Chiropractic and Natural Health Care 419 E. Parkwood Ave. Friendswood, TX 77546 Telephone: 281-482-3111 FAX: 281-482-4111 http://www.massieclinic.com Email: chiropatrick@rocketmail.com Meridian Stress Assessment Additional contributing factors that can be tested and evaluated include: Additional Testing, Parasites, Heavy Metals, Chemicals, Bacteria, Virus, Fungus/Molds, Herbicides/Pesticides, Mycotoxins, Hormones, Vaccines, Phenolics, Medication Tolerance Test, Sensitivity (food/environmental allergy) Screening, Basic Nutritional/Supplement Analysis, Dental, Emotional aspect of healing And MORE! NEW! Computerized Regulation Thermography (CRT-2000) The CRT-2000 is the latest non-invasive, state of the art dynamic biological screening method to be FDA approved. The CRT-2000 quickly takes a reading of the whole body and prioritizes the treatment plan and strategies. Successfully locate foci of disease. Premier Research Labs Meridian Stress Assessment (MSA) 2000 N. Mays St., Ste. 120, Round Rock, TX 78664 US Tel: 800/325-7734 Fax: 512/341-3931 http://www.prlabs.com/ E-mail: info@prlabs.com The Kimberly Center of Chiropractic & Complementary Medicine 21st Century Chiropractic and Rehab Dr. Kimberly N. Jones, D.C., F.I.A.M.A. 3701 W. Northwest Highway, Suite 235 Dallas, TX 75220-4973 Phone: (214) 366 - 1133 Fax: (214) 366 - 3916 http://www.drkimberlyjones.com/ Email: doc@airmail.net Dr. Jones utilizes the latest in diagnostic equipment, including the BioMeridian Computerized Testing System for acupuncture meridian stress assessment. Willis Healthcare Dr. Linda Martin, DO (Doctor of Osteopathy) 1736 Crockett Rd. Palestine, TX 75801 Office: 903-723-2325 Fax: 903-723-2383 http://www.willishealthcare.com E-mail: willishealthcare@hotmail.com *Be sure to specify that you want Meridian Stress Testing for pathogens, e.g. TB testing, etc... Drucker Labs Richard A. Drucker, M.S., N.D., N.M.D., Ph.D. 2601 Dublin Rd. Parker, TX 75094 1-888-881-2344 Toll Free 972-881-2344 Main Office 972-881-3244 Fax http://www.druckerlabs.com EAV/EDS testing Electro-acupuncture Meridian Stress Testing *Be sure to specify that you want Meridian Stress Testing for pathogens, e.g. TB testing, etc... Ye Olde Tranquil Thymes 240-A Noble Street, Spring, Texas 281-528-9419 or 866-823-8774 (Toll Free) http://www.yeoldetranquilthymes.com tranquilthymes@ev1.net LES HOWARD Meridian Stress Assessment Uncover health related issues. Thursdays and Fridays, noon - 5PM Meridian Harmonics Acupuncture & Oriental Medicine 1908 Central Drive, Ste. C Bedford, TX 76021 Telephone: (817) 835-0885 http://www.meridianharmonics.com E-mail: mark.tryling@meridianharmonics.com For Appointment Information e-mail: appointment@meridianharmonics.com Please call contact below to find additional BioMeridian practitioners in your area or closeby. Oksana Gorodetsky Marketing/Administrative Coordinator BioMeridian International 12411 South 265 West, Suite F Draper, UT 84020 T 801-501-7517 F 801-501-7518 Toll Free 888-224-2337 ogorodetsky@biomeridian.com Texas QXCI Practitioners: http://www.theqxci.com/practitioners.php Harmony for Health Bill Rauscher Dallas/Fort Worth, TX 75209 214-233-3737 billdfw@sbcglobal.net Neurotherapy Center of Dallas Jonathon E. Walker, Neurologist 12870 Hillcrest Rd. Suite #201 Dallas, TX 75230 972-991-1153 ext.10 The Oaks Chiropractic Center David Bush Specializes in chiropractic 5311 - Farm Rd. 1960E Humble, TX 77346 281-852-8724 dcdaves59@hotmail.com For information on purchase or lease of the new Quantum Life BioFeedback L.I.F.E. System, please email Donna and leave your name, mailing address, phone number and email. If you're inquiring for another interested individual or practitioner, please leave their information. The company will then send information and contact the interested parties. Or you may call 1-407-672-6144. The L.I.F.E. System is also registered with the FDA for safety issues as a Class 2 Biofeedback Device Information on this page is provided and sponsored by: ![]() Referred by Roberto AC (you may have to click YES) |