You will be required to sign the consent/declaration part at the bottom of this waiver before treatment.
You may complete the health/medical details if you wish.
Carlise Road
contact@tierrasolenergyhealing.com
(+44) 07359 052 989
© 2026. All rights reserved.
Derry City Centre
Northern Ireland
BT48 6JP
Facebook.com/TierraSolEnergyHealing