Testimonial Submission Form

Share Your Experiences with TCM

I consent to share my experience at BodyMind Synergy Health Centre with others for the following use only,

The Lotus Pond News Letter (electronic or hard copy)
Website (clinic or school)
Case studies for research purposes
Case studies for teaching purposes

I consent my information be used with the following condition:

With my full name
With my first name or initial
Without my name

Please tell us your story:

We reserve the right to edit any stories for length and content. All submissions become the property of the BodyMind Synergy Health and the Canadian Institute of TCM.