Dr. Brent Davis

1) Describe in three or less sentences (up to 200 characters each) WHAT WOULD YOU LIKE TO IMPROVE IN YOUR LIFE? Please focus an goals and wishes, not on physical complaints.

2) Carefully adhere to the following requirements for your confidential facial headshot photo that you must submit.
In the tradition of remote energy healing, Dr. Davis uses your photo in his screening of flower essences you may need.

Headshot must be full face - large image size (NOT compressed up to 5 MB).
Most modern mobile phones have good photo capability.
Do not use a selfie photo because that distorts facial geometry.
Have another person snap the photo from a distance of 4-6 feet.
Use a photo taken within two weeks of your intended assessment.
Snap several photos and choose the most respresentative photo.
The photo must be NON-smiling
Looking directly at the camera-eyes at level of the camera lens
Good lighting - avoiding bright light that causes squinting of the eyes
Adopt a restful expression-CLOSE EYES, OPEN EYES, SNAP PHOTO
Eyes must be clear and visible
Please do not crop or alter the photo in any way

Send your photo to your desktop or cell phone photos storage for loading in step (3)

3) Upload your facial photo below,

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and when that is successful,

4) Select one of the session time options which includes live participation with Dr. Davis by phone (at a telephone number we will confirm with you before your appointment.)

If you do not wish to be present for conversation with Dr. Davis' during the assessment, choose only the FIRST 15-minute option.

PROCEED TO CHOICE OF SESSION LENGTH AND PAYMENT

FlorAlive® Phone Consuhation *Assessment only/no call - Up to 15 minutes with cost of custom FlorAlive flower essence blend including U.S. Priority Mail shipping $128Phone session up to 15 minutes with cost of custom FlorAlive flower essence blend including U.S. Priority Mail shipping $128Phone session from 15 - 20 minutes with cost of custom FlorAlive essence blend including U.S. Priority Mail shipping $150Phone session from 20-30 minutes with cost of custom FlorAlive flower essence blend including U.S. Priority Mail shipping $194

Would you like your assessmentIn the week following your reservation and payment?Within two weeks following your reservation and payment?

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IMPORTANT NOTICE: If you miss the time we agree upon with you when we initially set your appointment. Dr. Davis will automatically perform your assessment and formulation of your FlorAlive® custom blend based on "energetic reading" of your photo and what you write in # 1 of this form.

Doctor Brent Davis' 3-Day

Holistic Health Intensive

CANCELLATION NOTICE

PAYMENT AND SCHEDULING POLICY

FlorAlive Assessment

For Your FlorAlive® Custom Blend assessment please fill in the following: