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Patient application

I, the undersigned

I submit my application as a "patient" to receive a Metamedicine consultation for the following event:
What type of disorder do you want to receive the consultation for? *
Briefly describe the reason for your request for a consultation by a metamedicine consultant so that the trainer can evaluate your suitability for participation.
Information provided pursuant to articles 13-14 of GDPR 2016/679 *

You can read the complete privacy policy at the following link : Privacy Policy

After submitting this form, you will be contacted by the trainer to evaluate your application.


Wait for the response before making the payment.

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Written by Metamedicina on . Published in Uncategorised.

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Metamedicine is constantly expanding.
Is there not yet a representative in your language? Feel free to write to info@metamedecine.com and we will find a solution.

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Evaluation Request to Become a Metamedicine Consultant

This form is designed to accompany you in the important step of requesting your evaluation as a Metamedicine Consultant.

We invite you to fill it out carefully, indicating the seminars you have completed in your journey, the year of attendance, which Facilitators led them, and how many times you participated as an Assistant.

The first 7 fields in the list are mandatory. If you have repeated some seminars, you can add them to your list with the corresponding year of attendance
Which Facilitators have you worked with? *
Who conducted the seminars you attended?
How many times have you participated in an Emotional Memory Liberation Seminar as an Assistant?
How many times have you participated in a Metamedicine 1 Seminar as an Assistant?
Have you participated in any Emotional Memory Liberation Seminar as an observer? If so, how many times?
If you have any other information to communicate, feel free to write it in this space.
This declaration, made by the undersigned under their own responsibility, is valid as self-certification pursuant to Articles 46 and 47 of Presidential Decree No. 445 of 28 December 2000.
The examiner reserves the right, if deemed appropriate, to carry out any checks with the indicated reference facilitators.

Click the button to submit your application to receive an evaluation.

You will be contacted again by the organizers

Information provided pursuant to articles 13-14 of GDPR 2016/679 *
You can read the complete privacy policy at the following link : Privacy Policy

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Metamedicine Release Form

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We therefore ask you, if you would like to fill out this document to allow us to publish part of your review, reviews will always be published anonymously.

Fill out the form, your email address will serve as an electronic signature to confirm that it is actually you.

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