Intake Forms

Thank you for your interest in the BioScan SRT/MSA!

For new clients, please either print or electronically sign the following intake forms.
Email or mail us the signed forms at least 48 hours (2 days) before your appointment. Thank you.

Client Bill of Rights (MN clients only) →
Intake Form →
Release Form →
Terms and Services →


The day of your appointment:
Our testing is performed on a strict schedule, so please be on time. The following important reminders will make your visit go more smoothly.

Do not take any supplements 24 hours before your appointment unless prescribed by a doctor or unnecessary medications for an hour before your appointment. Avoid eating one hour before your appointment. Please drink a lot of water for 24 hours before your appointment. No alcohol or caffeine 12 hours before your appointment. No physical activity ( yoga, competitive sports training, daily exercise routines, etc.). No therapeutic modalities ( chiropractic, acupuncture, massage, etc.). Most treatments involve acupuncture points on the lower leg, forearms and back. Gowns are provided, but you may want to wear loose pants that can roll up and a white sheer shirt in place of wearing a gown. No underwire bras. Please do not wear perfume, strong smelling deodorant, fragrances, essential oils, hand lotion, aftershave or cologne on the day of your visit. Please bring your supplements with you, to be tested to see how well they are working for you. If you need to reschedule your appointment, please do so 24 hours before your appointment.

Thank you!
J&L Balanced Living