Explanation of Clinic: HYH clinic is a proactive, preventative and peak performance focused private medical clinic featuring safe, rapid, modern non-invasive Quantum Biofeedback with the Eclosion scanner. This integrated health clinic focuses on self consent, self directed and self evaluation methods to motivate healing and vitality.  The client or patient must consent to partake in the closest possible look at themselves on many levels through the 3 - dimensional sound map of their body. Then we use their own bodiy's directives as mapped from the biofeedback device, to reflect and retrain the physiology back to its centre or homeostasis point.  Centering the gyroscope makes it spin better, if you will.  Thus the body selects the self correcting course for itself through unconscious subtle electrical corrections and helps find the most individualized and natural solutions.  No claims of cure can be made, but a centered, balanced body, mind and emotional system is less prone to disease, so we attend early in the process to the patterns of injury and realign the self, hopefully with attendant risk reduction to chronic degenerative diseases.  Thus we focus on wellness and peak performance while alleviating suffering through stress reduction, pain relief, relaxation of the fight or flight response. The goal is to pinpoint non invasively, then remove, retrain or avoid aggravations that push the complex stress physiology into overload, preventing if possible a prematurely aged body, mind and soul.

Consent: Go to www.HarmonizeYourHealth.com under center section and download the previsit questionaire called the SOC score and the Biofeedback Waiver of Consent and Visit Instructions.

What is covered: In a 90-120 minute interview, the client or patient undergoes detailied History, physical, Quantum Biofeedback Scanning (Testing and therapy), follow up instructions, nutritional prescription, home suggestions.

Explantation of Biofeedback for layman: QBF is like looking for holes in your swiss cheese and melting the form back to whole. QBF or Quantum Biofeedback is a form of Evoked potential bioresonance testing and therapy involving mapping the body with non invasive low level sound waves to determine the "acoustic shape" of your electrical body. Then theEclosion scanners mathematics computer technology will send sound waves or vibrations in the exact form (mimicking the item's 3 Dimensional electrical hologram shape) and volume (akin to size of dose) that your body craves in order to rebalance itself. Through this feedback process, the body can retrain its habits, behavious, and patterns of metabolism or emotion, and almost anything else. Thus by promoting stress reduction, pain relief and relaxation, we use the body's own mechanisms to attend to then reduce risk factors for disease, distress and decompensation.

Biofeedback Education: Above and beyond the Medical Doctor degree, and Fellowship in the College Of Family Physicians of Canada, Dr. Drake has attained her Certified Biofeeddback Technician and Specialist and Master and Diplomate Instructor levels of credentialling for her work in Quantum Biofeedback clinical work, research, education and as an examiner around the world since 2000.

List of Charges $250 per hour, initial visit 2 hours, therafter 90 minutes.

Payment Method: Cash, Certified Cheque, Money Order (On line credit card at HYH.com shopping cart, Jan 2007 Debit and Credit card in Office.)

Office Hours: MT TH F 10-12, 1 - 5pm

Office Address: Unit 9 - 180 Mary Street, Port Perry, Ontario Canada L9L 1C4

Phone Numbers:Office: 905-985-1463, Fax: 905-985-2467, Emergency Cell: 905-432-5108

Email: drdebidrake@bellnet.ca

Insurance Coverage: Biofeedback under ICD CODE #308 for insurance coverage must be checked by individual. Biofeedback purchase on prescription by MD is available in selected cases and may be covered by insurance, especially for long term rehabilitation cases, head injury, migraines, back pain, stress, athletes, cardiovascular disease, stroke, and cognitive or memory issues

Instructions regarding OHIP: Although approved by Health Canada, there is currently NO OHIP COVERAGE FOR quantum biofeedback scanning or therapies and thus HYH.com is a private clinic.

OHIP will cover blood work, lab, xray physio, meds

Admitting prividleges: Dr. Drake belongs to the Markham Stouffville Hospital Medical Staff Association. MSH is a specialist run hospital, where no family doctor can directly admit, but rather you are cared for by the Hospital STAFF

Curriculum Vitae of Dr. Drake is available under BIOS on www.harmonizeyourhealth.com website

Quantum Biofeedback Appointments

Please contact us to book a Quantum Biofeedback Eclosion scan for Stress, Pain or Relaxation ( by appointment only ) :

Email: drddrake@bellnet.ca or info@harmonizeyourhealth.com

Telephone: 905-985-1463  Cell: 905-432-5108

Fax: 905-985-2467

Location:

HarmonizeYourHealth Clinic and Institute

Unit #9, 180 Mary Street, Port Perry Ontario Canada L9L 1C4

Cost: Sessions cost $250 per hour, which includes all phyical examination and biofeedback scanning costs.  Payment must be made in cash or cheque to the order of "HarmonizeYourHealth".  Make On line payments with VISA or Mastercard via www.harmonizeyourhealth.com/products/ for stress therapy appointment using QXCI/ SCIO or EPFX quantum biofeedback scanning or see the following link: http://www.harmonizeyourhealth.com/display/eCommerce/Products.asp?CategoryID=752&order=

LONG DISTANCE STRESS COACHING USING REMOTE ECLOSION SCANNING AVAILABLE UPON REQUEST.

Directions:

ROUTE FROM WEST:

From the Hwy #404, travel east on Bloomington side road, past 30th SIde Road , turning left at the bottom of the hill near yellow flashing lights onto GOODWOOD ROAD 21, travelling east until crossing straight over HWY #12 onto HWY 7a in Manchester toward Port Perry, continuing down Queen street until the water edge, turn right one block, then turn right onto MARY street, parking in Municipal lot on left, and walking to office set back off road in grey building on right south side of street, on ground floor.

ROUTE FROM THE SOUTH:

Travel Highway #401 East to exit 410 called Brock Street or HWY#12 north.  Travel approximately 23 Km to Manchester, and turn east or right onto Highway 7A, and travel 3 Km through town, keeping to the right at Sunny D's gas station. At the 3rd traffic light, TURN LEFT ONTO WATER STREET, the turn at the second left onto MARY STREET and go toUnit #9 -  180 MARY STREET. 

PARKING: You can park behind the building off CASIMIR street near (see Port Perry STAR newspaper ) or in the municipal parking lot on Mary Street just one block west of SCUGOG LAKE, One street south of QUEEN street in Port Perry. When parking in the municipal free parking lot, you must then cross to the south  side of the street, to the two story grey building ground level unit #9 (to the left of THE COOPERATORS insurance company blue sign.)

AIRPORT LIMOSINES ARE AVAILABLE FROM PEARSON FOR $125 plus tip.

HarmonizeYourHealth.com

Quantum Stress Clinic

9-180 Mary Street, Port Perry, Ontario Canada L9L 1C4, 905-985-1463

drdebidrake@bellnet.ca, info@harmonizeyourhealth.com 

Orientation to New Clients

1. Welcome to a novel non-conventional stress relief clinic operated by a Medical Doctor and Clinical Nurse experienced in Quantum Biofeedback Techniques.
2. Please come well fed, well hydrated and in comfortable warm clothes and free of Jewelry, and avoid intoxication which lessens the results.
3. You will be required to read about your expected procedure called Eclosion scanning and then to complete a Biofeedback Consent Waiver before examination can begin. (This information is available pre visit by downloading from our website at www.harmonizeyourhealth.com/clinic).
4. Integrated Holistic Medical care may be different from what you expect with reductionistic allopathic medicine, and you will be encouraged to participate in self study, habit changes, dietary alterations, detoxification strategies, and ongoing self care, with an emphasis on lowering the use & risks of polypharmacy.
5. You are encouraged to continue an ongoing relationship with a family doctor for you health care, and to use our services for stress, pain and relaxation strategies to reduce the risks of disease and to promote prevention, awareness & responsibility.
6. Wherever possible, natural alternatives will be suggested to augment your care.
7. Typical blood work, cultures, x-rays, and other allopathic strategies may be used if, when and where necessary and will require an OHIP card or other health insurance coverage.  You will be notified and recalled only for abnormal results.
8. While Health Canada has approved the Eclosion EPFX scanner, the cost of your sessions for Quantum Biofeedback sessions is NOT covered the Ontario Health Insurance Plan (OHIP), and must be paid at the outset of session in cash, debit, cheque or credit card.  Biofeedback Stress Invoices are available upon request for those with coverage for ICD code 308 for Stress Therapy.
9. You should be aware that after Eclosion Quantum Biofeedback scanning with the electro-physiologic feedback Xrroid (EPFX) scanner, you may feel fatigued, thirsty, tired, or hungry, and occasionally you may find a mild headache or increased excretion during detoxification of sweat, breath, colon, urine and skin.
10. Most people take 90 hours to adjust to the changes, so you may feel nothing at first, but may later find subtle changes in mood, physiology, insight, stamina, energy and vitality.
11. The usual pattern of 90 minute visits should include a detailed intensive history, physical and quantum biofeedback exam on the first visit, followed by 4 weekly Quantum Biofeedback visits, then 4 bimonthly or monthly visits in order to correct many of the human, pet or environmental parameters.  Seasonal detoxification sessions are encouraged to continue to keep the body steadily free of toxins.  Thereafter annual surveillance if suggested unless other interval issues.
12. Please consider the importance of maintaining mineralization through Spirulina algae use, which helps maintain nutrition and grounding between and during biofeedback sessions, as well as Probiotic Acidophilus to ensure normal bowel flora and normal blood coagulation restoration.
13. Please notify staff of any issues, concerns, problems or unexpected symptoms or outcomes.

Biofeedback Consultation Waiver

Practitioner: Name:________________________________________

 CBT , CBS, CQI, QB Diplomat  (Circle Applicable Qualification)           

1. I fully understand that the above named health care professional is Certified (USA) or Licensed (Canada) Quantum Biofeedback Technician (CBT), Practitioner (CBS) or Instructor (CQI) and in the context of this session,  is acting in the capacity of a nutritional, wellness and quantum biofeedback health care practitioner.  

2. I understand there is a distinction between allopathic medicine practice with drugs and surgery, vs. non-invasive alternative techniques such as nutritional wellness consulting and biofeedback.

 3. I understand that the nature of the services provided may be any of the following: allopathic or complementary medicine referrals, nutritional, wellness and bio-energetic strategies, therapies, including biofeedback or quantum biofeedback.

 4. I recognize that the services provided by the in the context of a biofeedback consultation are within the parameters of a natural health and wellness system using Biofeedback and stress reduction.

 5. I understand that the use of Biofeedback is intended for mapping and pre-diagnostic information, plus therapies related to Stress, Pain and Relaxation management.

 6.  I fully understand that the attendant is acting in the context of a health and biofeedback consultant, and not as my attending family physician.

 7. I have solicited professional consultative services in good faith, exercising my free will and following the dictates of my own conscience, which allows me to select what I understand to be beneficial to my health.

 8. I presently seek counsel, advice, opinions, Biofeedback, or points of view and /or programs within the scope of a wellness using stress reduction practices.

 9. If I desire any services not provided herein, which is my prerogative, I fully understand that I could seek them elsewhere.

 10. I have read the Quantum Biofeedback procedure outline on the reverse, and I hereby release the Biofeedback technician to perform Biofeedback tests and therapies described therein. 

Signature:____________________________________________

Print Name:____________________________ DATE:M___/D___/200_

Witness Signature:________________________________________

Witness Print Name: ________________________________________

Quantum Biofeedback Procedure

 BIOFEEDBACK is the process of training the body and its unconscious systems to react differently in the future.  This retraining process is non-invasive, using bioresonances or frequency pitches to map and retune areas of electrical stress in the body’s electro-magnetic field with high accuracy, speed and safety.   Initial consultations take longer (90-120 minute or more) due to history, physical and biofeedback first exam.  Then follow up sessions usually last one hour, must be separated by a minimum of three days, and generally follow a schedule of approximately once per week to once per month. Come rested, well fed, well hydrated, and well mineralized to maximize the benefits of treatment. 

Name (print) :_______________________________________
DOB: MM___DD___YYYY____ 
City Of Birth:_________________________________________
Allergies:________________________________________________
Medications:____________________________________________
Safety:  Are You Pregnant?  ___   Do You Have a Pacemaker?___  Intoxicated?_____Do You Have a Skin Condition? ____    Any Cautions?________________________________________________________

 Steps in the Biofeedback Process:

1. Registration: Provide Registration Data, Demographics in Eclosion Scanner & CPP
2. History: Complete History and Stress Survey (SOC Form).
3. Sign Consent for Biofeedback and /or photos ( SEE Waiver on Reverse Page) and/or Research Consent for Case Study
4. Physical Exam of Vital Signs, Physical exam relevant to problem 
5. Assessment Tools: (optional, as required) pH saliva or urine, Labs 
6.  Attach Biofeedback Harness: Relax while you’re attached to electro-conductive rubber straps via a painless (needle less) non-invasive harness to all limbs and forehead.  Additional point probes can be attached for specific area emphasis, such as dental probe, skin roller or probe, pet pad, children’s pad, or use Virtual Mode for Pacemaker Users, locations, inanimate objects  or long distance remote sessions.
7. Calibrate The Eclosion scanner.  A test signal of sugar and water are sent electronically to first Calibrate the Eclosion device to you , typically requiring only 1 minute to adjust for volume and ensure over 85 % loud and clear transmission of signal before commencing.
8. Eclosion Test Mode: 10,000 Bioresonances or “sound checks” are tested via the harness to make an electrical imprint of your body, mind, emotions, nutrition, toxins etc. Sit still without talking or crossing limbs, keeping eyes opened and mind consenting for 5 minutes during the testing phase.
9. Reporting: Data will be gathered from probability calculators and health menus, assessing you body’s top choices for therapy from your own unconscious priority list. 
10. Stress Therapies: For the remainder of the session, out of 2600 choices of appropriate recommended biofeedback modules, your personal issues will attempt to be corrected through bioelectric field enhancement, and sessions may require repetition to entrench new healthy habits of physiology. 
11. Treatment Plans: If necessary, a treatment plan will be devised for future. Therapy sessions will be applied weekly or monthly, which take approximately one hour.
12. Discharge Instructions: Helpful hints, dietary and dental suggestions, written materials, remedy suggestions or even prescriptions if required may be used.
13. Follow up will be recommended for an integrated holistic approach to help you overcome illness and reach peak immune status and vitality.  You are responsible for your health.
14. Pay the Bill: QBF Charges $150/hr +Receipt, payable at time of service by cash /cheque/money order/debit or credit card.
15. ENJOY the PROCESS, not only the DESTINATION as your body detoxifies & rebalances, noting the positive changes and discarding old bad habits and attitudes. Use minerals and probiotics.
16. Emergency Contact: Let us know if you have any unexpected problems by calling ________________________________________________________

If you read and agree to the steps above, Initial Here________