We request all patients complete The HealthGuard 142 Covid Injuries Diagnostics and Detox Healing Program Patient History Questionnaire.
Detailed responses are key to proper diagnosis and prescription.
Please click Next at the bottom of the page to complete the online form. If you have difficulty with this online form, You may instead download the PDF version here. When the pdf form is complete, please email to survey@bsi.international
We respect your privacy. All patient information is stored on the local BSI secure server, no data is available to outside parties. No information is stored on the so-called cloud. Nothing is read nor interpreted by AI. It's just us humans here. Keep in mind that many free email and communications services, such as Gmail, Whats App, Outlook, Apple Mail, Meta, and more, may not be fully private due to AI assistance interaction that records and learns from user content.
We respect your privacy. Please give accurate information so you are not confused with other patients
You may choose more than one
Please note we accept patients who can be based in Bali during treatment. BSI does not provide housing or visa assistance, etc.
We respect your privacy. Your address will not be given to anyone without your permission. Please note that all correspondence will be via these addresses. Please be sure you can receive email from medical@bsi.international (there is no .com etc.)
Legal citizen of what nation
Biological gender is needed for accuracy in blood testing
Really helpful to us, thanks !
IMPORTANT, Please note: we will do our best to give you the requested time slot. Confirmation will be sent via WA or Email.
Laboratory blood and urine testing results are based on the age and biological gender of the patient.
Current biological age is needed to insure accuracy of test results.
We ask so we may properly accommodate specific needs
Example: I have constant bloating and often dizzy. And my joints ache. I have long Covid. I have been exposed to other people who have been inoculated.
Pounds or Kilos Okay
Metric or English Standard Okay
A genetic blood trait, usually from Greek or African ancestry. If you have this you will probably have known since youth.
A serious disease that prevents blood clotting (uncontrolled bleeding). If you have this, you probably will have known since youth.
Please choose all that may apply.
It can be said that stress (physical / emotional / financial / etc.) can and does inhibit healing and longevity.
Remember that the body only heals during deep sleep. Please give detailed answers in comments section, so we may better understand your needs.
"Let thy food by thy medicine".
Example: wheat bread, avocado, orange juice. Don't feel right without them.
If possible, please tell us the names of those you most frequent, and your review of them. We publish a list of eateries suitable for our patients.
Sometimes excessive or incorrect supplementation can feed disease. Please carefully answer and give detailed answers in comments section, so we may better understand your needs, in relation to Covid issues.
The following questions are pertinent to Covid exposures
Please give detailed answers in comments section, so we may better understand your needs in relation to Covid stresses.
Have you received these over the years? All answers are fully confidential VERY IMPORTANT. If you know the brands of the injections, your complete answers will help us to better diagnose problems. If known, please tell us when taken and with comments regarding reactions, etc.
Current conditions greatly affect proper diagnosis and subsequent prescription. Please give detailed answers in the comments section, so we may better understand your needs.
These answers help us to determine what therapies may have helped more than others. Please give detailed answers in the comments section, so we may better understand your needs, in relation to Covid issues.
The following questions are pertinent to general physical examination and personal health status.
Please give detailed answers in the comments section, so we may see how patterns develop and as such better understand how to diagnose causes of chronic problems.
Even minor details can give major indications of causes of disease.
What enters the mouth, and bacterial or fungal pathogens may flourish in the mouth, greatly moderate digestive function and overall health. Please give detailed answers in the comments section, so we may better understand causes of imbalance you may experience.
The thyroid controls many aspects of body function, and when disrupted by chemical contamination or other stresses, organ or general body imbalance can result.
Swelling in this area of the body is indicative of systemic inflamation - your body telling you it is inflamed, usually from dietary or environmental toxins.
Graphene derivatives or sugar imbalance have been known to adversely to affect vision.
Proper and complete digestion is key to vibrant health. One of the main goals of detox is to balance digestion, a key component in proper healing.
Lungs symptoms are generally the most overt in relation to Covid exposures. Well-functioning lungs can indicate proper healing has been accomplished.
The effects from smoking can last 20 years or more past cessation of smoking. Vaping is fully unregulated and often contains chemical compositions that can be quite harmful. Detox can greatly help these addictions.
According to Ayurvedic tradition, the kidneys and liver are key to healing and longevity. Even slight problems here can indicate important causes of health imbalance.Comment are greatly appreciated.
The primary organ is the heart. How it functions is primary to any other malady of the body. Even slight changes here can indicated important issues. Please check all that apply. Comments are greatly appreciated.
Skin is considered the largest body organ. 50% of your oxygen comes through skin. Anything that is placed on the skin is absorbed into the body. It's similar to the gauges on a car dashboard, and can indicated what is going on inside the engine that is the body. Please check all that apply. Comments are greatly appreciated.
We respect your privacy. Male hormonal imbalance is often due to dietary and environmental pathogens, and sometimes endemic parasites. Optional Detailed Male Hormone Testing and Analysis is available, more information here. Comments are greatly appreciated.
We respect your privacy. Female hormonal imbalance is often due to dietary and environmental pathogens, and sometimes endemic parasites. Please check all that apply. Comments are greatly appreciated.
Hormone testing is optional, More information here. Sex hormones are involved in all body processes. Please give detailed answers in the comments section, so we may better diagnose your needs.
In our view, allergies are transient (not forever- and change from time to time, and are the result of liver and fat over-saturation of toxins and pathogens. With detox, many allergies tend to no longer be at issue.
In our view, chronic disease does not just happen for no reason. There is always a cause, often due to subtle or simple daily exposures to food or environment. The body has the remarkable ability to heal, when properly detoxed and given proper nutrients and exercise.
The precious human body has the amazing ability to heal from just about anything, when properly detoxed, nourished, and exercised. Many of these diseases are due to chronic parasites infection. Consider the The BSI Deep Dive Parasites & Dormant Diseases Testing and Remedies Service
In our view, virus are the result of elimination of pathogens that cause these toxic releases. Many of these diseases can be remedied with proper detox and nutrition / exercise.
These tend to be the primary causes of unexplained or chronic disease. They often come from common objects or daily exposures. Please give detailed answers in the comments section, so we may better understand your needs.
These tend to be common causes of unexplained or chronic disease. Please give detailed answers in the comments section, so we may better analyze your needs.
Nearly all modern medications have strong interactions with other medicines and often food or drink, and can directly or with delay, result in unexpected side effects or diseases. Please give detailed answers in the comments section, so we may better analyze your needs.
If you have it, please give name and dosage into. Thanks.
In our view, excess or even moderate use of antibiotics can suppress immune function and temporarily or long-term alter DNA sequencing. 'Antibiotic Resistance' is a common complaint of most medical professionals. Please tell us when the antibiotic was taken, so we can evaluate its current effectiveness in relation to therapies we may want to prescribe after testing.
A balanced and contented emotional state are key to all healing.
It helps us a lot to know previous therapies and their effects, so we may proceed in a timely manner.
It helps us a lot to know previous therapies and their effects, so we may proceed in a timely and appropriate manner.
Fungal infections are often directly related to consumption of antibiotics or excess sugar consumption.
We consider parasitosis a leading cause of cancers, and also proven integral with Covid inoculations.
