Natural Chi Movement | Registration: Kidney & Bladder Clearing

Program Start Date

How did you find out about Natural Chi Foundation?

Current condition of your kidney or bladder health, including any medical problems or concerns.

Medical history (including previous kidney or bladder issues, surgeries, and hospitalizations).

Please list any treatment plans (conventional or alternative) you are doing or have done in the past year for your kidney or bladder.

Is there anything else you feel Tienko should know?

I have read and agree to the terms of the Natural Chi Foundation Waiver.

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