Sovereign Health Choice Report

There are times when western medical health care providers may have suggested treatment plans, surgeries or other protocols or procedures for diagnoses that they have given to us. In many instances, we are not provide with full informed consent related to the procedures, medications etc and we know that there is simply something not right about what we have been told to do. Other times, we have done research or simply intuitively know what is being told that we NEED to do is not right for us.

At Yin-care® we recognize how challenging it is to go against a health care provider in the western medical field’s advice and choose to either create your own vibrant health solution. We want to know about what you were told for a diagnosis and treatment protocol and why you chose something else for yourself.

Please complete the following:

Name

First Last

Leave blank for anonymous.

Email(Required)

Phone

Phone is optional; however is extremely helpful should you wish to share more details and our team has questions.

Where did your incident occur:

Country(Required)

State(Required)

City(Required)

What is the name of the facility:(Required)

What type of facility:

Type of physician:

example: primary care, obgyn, nurse etc

Did the incident happen by:

What diagnosis were you given?(Required)

How were you diagnosed?(Required)

What treatment protocol, pharmaceuticals, procedure, surgery etc was suggested?(Required)

Why did you decide to not follow these suggestions?(Required)

Please describe any interaction as it relates to the suggested mode of treatment and your response to it that occurred (interaction with doctor/facility or lack there of):(Required)

Please link any video or audio links that assist in showing or listening to the event occurrence:

Do we have your permission to use the video or audio content?

Yes

Was there anything about this incident that was unacceptable to you and why?

For incidents to truly qualify as unacceptable, they need to have created a sense of disempowerment as it relates to your health, diminishment of your own sovereign choices, lack of informed consent, creating a sense in you that you don't matter, are at fault in someway or should apologize for yourself. Or other issue that is similar in nature but along these lines.

Would you be willing to talk about this publicly - potentially on our podcast?

Yes

If Yes, please do provide a phone number above.

Sovereign Health Choice Report

Where did your incident occur:

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