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Thank you for your submission

We have received your EmeryStar Scan application form. We will respond within approximately 1-2 days. Emery Smith

EmeryStar Non-Linear System Quantum Bio-Scan Application Form

EmeryStar LLC

Questionnaire and Intake Form — please fill out all required fields for application. 

Referred by? How did you hear about us?

1. Personal Information

Name(required)

Phone number(required)

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Email(required)

Mailing address(required)

Comments

Message

2. Health History

Date Of Birth (YYYY-MM-DD) (required)

Birth Location

Height and Weight (required)

What is your blood type?(required)

Select one option A positive A negative B positive B negative O positive O negative I don't know

Health History

Do you have any diagnosed medical conditions? (required)

Cardiovascular Issues - Atherosclerosis, Myocardial Infraction, or Stroke Diabetes Thyroid Disorders - Hypertension or Hypotension Neurological Conditions - Parkinsons, Alzheimers, or Dementia Chronic Fatigue Cancer (Past or Present) Autoimmune Disorder - Lyme Disease, Lupus Other _______________

If answered yes to any above conditions or other:(required)

Medical diagnosis for cancer:

Have you ever had chemo therapy, radiation, or experimental pharmaceutical?(required)

Yes No

If Yes:(required)

Are you currently under a doctor’s care?(required)

Yes No

If Yes:(required)

Do you have any food or pharmaceutical kinds of allergies or sensitivities?(required)

Yes No

If Yes:

Do you have low or high blood pressure?(required)

Yes No

If Yes:

Prescription medications or taking supplements? (required)

Yes No

If Yes

Do you have a history of surgeries or major medical procedures?(required)

Yes No

If Yes:

Do you have metal implants or a pacemaker? (required)

Yes No

If Yes

Smoke tobacco of any kind?(required)

Yes No

If Yes:

Use of cannabis?(required)

Yes No

If Yes:

Do you drink alcohol?(required)

Yes No

If Yes:

Do you take any street drugs or any designer drugs?(required)

Yes No

If Yes:

 3. Energy & Lifestyle Assessment

How is your overall energy level?(required)

0

0

10

Low energy Optimal energy

How would you describe your stress levels?(required)

High Medium Low

Stress pattern:(required)

How well do you sleep: (required)

0

0

10

insomnia deep restful

Sleep pattern:(required)

Do you experience frequent headaches, brain fog, or dizziness? (required)

Yes No

If Yes:(required)

Do you experience frequent pain?(required)

Yes No

If Yes:(required)

Current Pain Level:(required)

0

0

10

none excruciating

Do you experience frequent inflammation?(required)

Yes No

If Yes:(required)

Current Inflammation Level:(required)

0

0

10

none high

Do you follow a specific diet?(required)

Keto Paleo Vegeterian Vegan Pescatarian Standard American Diet Other ___________

If Other:

How much water do you drink daily? What kind of water?:(required)

How many beings in your household or domicile? Please include family, friends, roommates, and pets.

4. Environmental & EMF Exposure

Do you have plants in your house?(required)

Yes No

If Yes:

Where is your electrical smart meter? WiFi?(required)

How often are you exposed to electronic devices (what type of exposure? phone, laptop, WiFi, etc.):(required)

Do you live near power lines, cell towers, or high-EMF environments? (required)

Power lines Cell towers High-EMF environment none (off grid) Other ______________

Do you take any measures to reduce EMF exposure? (required)

Yes No

If Yes:

5. EmeryStar Scan Preferences & Additional Notes

What are your primary health concerns or goals for this scan?:(required) (select all that apply)

Genereal Wellness Chronic Illness Detoxification Energy Optimization Emotional & Mental Clarity Anti-Aging & Longevity Other ___________

Do you have a preferred method of receiving results?(required)

Phone call Text highlighted report

Do you have any specific questions or concerns, potentially areas in which you’d like the scan to focus on?

6. Consent & Acknowledgment

CONFIRM — acknowledge that the EmeryStar NLS Quantum Body Scan is a non-invasive energy-based assessment and is not a medical diagnosis or treatment to replace personal medical Doctors diagnosis or treatment.(required)

CONFIRM — I consent to this scan and the collection of my health information for analysis by Emery Smith and his team of Practitioners, Pilots, and Co-Pilots which will be kept classified.(required)

File upload relevant documents (medical reports, X-rays, CT-scan, EKG, etc.) or email documents to EmeryStarScan@gmail.com regarding your application.(optional)

APPLICATION SUBMISSION

After form submission Emery Smith and the team will be in contact with you regarding scan and next steps to consultation and payment options. We will respond within approximately 1-2 days.

THANK YOU! - Emery Smith 

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What Is the EmeryStar NLS Quantum Bio-Scan?

The EmeryStar Scan system is designed to read, communicate with, and stimulate a shift in the energy of the light body. It works by measuring the photons emitted from the body — or from a current photo, hair sample, or fingernail/toenail clipping — using the same underlying photonic-scanning principle NASA’s James Webb Space Telescope uses to analyze the atomic and molecular composition of distant planets, moons, stars, and other cosmic bodies.

By sending and receiving weak electrical signals, the system interprets the body’s response and extracts additional data through source fields. EmeryStar NLS technology combines Source Fields, Radionics, Photonic, Harmonic, and Scalar energies to decipher, read, assimilate, correct, and scan over 2.2 million frequencies in the body, including the etheric energy chakras.

What the Scan Covers

• Full-body systems scan — identifies photonic anomalies in the body’s crystalline structure, rendered as a 3D stereotactic map on a 2D screen or report
• DNA, RNA, and chromosome analysis — flags anomalies and helps determine whether they are genetic or acquired
• Risk prioritization — the system and Certified EmeryStar Clinical Practitioner Pilot (ESCPP) identify the most prominent health risk for the patient
• Connection methods — a current face photo, hair follicle, fingernail, or toenail sample (in-person presence is not required)

How the Process Works

1. Scan submission — complete the intake application; scanning is performed non-locally using your photo or sample
2. Scan duration — the scan itself takes 8–12 hours to complete
3. Data review — our team of clinical frequency specialists reviews the results over 7+ days, triaging roughly 1,800 pages of data
4. Findings call — we contact you for a ~3-hour conference call to walk through the results; you’ll also receive a photographed copy of the final triaged findings to review (please print on a color printer for the call)
5. Recommendations — based on findings, we may recommend supplements, remedies, and/or the 30-Day STAT Pack
6. Destruct treatment — a follow-up session (included in your scan price) targeting the neutralization of pathogens such as parasites, viruses, and bacteria linked to the underlying condition
7. Follow-up scan — a 45-day follow-up scan is recommended to track progress

90% of scans are performed at night, when the body enters a restful, meditative state ideal for accurate readings.

What’s Included

Your Full Body Scan (DNA, RNA & Chromosomes) includes:

• 1 non-linear frequency full-body scan (5 million frequencies + etheric/chakra scan)
• 5 Meta Therapy treatments
• 1 destruct session
• Full findings report and conference call review

Price: $3,700

Preparing for Your Scan

• During treatment: Take 4 oz of Blue Aquafarian Nano Water morning and night, the night of the scan and the day of destruction
• 24 hours before: Hydrate with alkaline water and an electrolyte supplement such as Liquid I.V. or a Banana Bag Oral Solution Mix
• Note: Mild detox symptoms are common in the days following the destruct treatment as the body clears parasites, viruses, bacteria, and helminths

Custom Tinctures (Optional Add-On)

Based on your scan results, our Clinical Specialists can prepare personalized tinctures:

• Base: 4th State Purified Plasma Water, harmonically and photonically 3D-imprinted for your results only
• Packaging: 30ml (1 oz) graduated glass dropper bottles, shipped via FedEx next-day
• Dosage: one dropper morning and night
• Typically 20–40 tinctures made per patient, depending on final scan results (each takes 1 hour to imprint)
• Additional cost: $750, plus shipping

Medical Disclaimer

All EmeryStar LLC products listed here and on our website (www.emerysmith.co) are not intended to diagnose, prevent, treat, remedy, or cure any disease. Their Gold Nanoparticles (GNPs), Zinc Nanoparticles (ZNPs), and Silver Nanoparticles (SNPs) are associated with supporting brain function over time. According to a US National Institutes of Health (NIH) paper (PMID: 33907028, December 2021), “Advances in the use of gold nanoparticles in the treatment of neurodegenerative diseases: new perspectives,” GNPs may help reduce effects of neurodegenerative conditions caused by inflammation and oxidation — “due to medical conditions such as alcoholism, a tumor, a stroke, or other causes which may include genetic mutations, toxins, chemicals, and viruses… and can be induced by various neurotoxic events, such as excessive inflammation, reactive oxygen species (ROS) production, and mitochondrial dysfunctions.” The paper notes that GNPs “have anti-inflammatory and antioxidant properties and are effective scavengers of ROS, including hydrogen peroxide (H2O2) and the superoxide anion (O2−), contributing to the activity of antioxidant enzymes.” For over 20 years, users of these products have reported improved mental clarity, focus, and cognitive ability, along with reported benefits to heart and joint health.

Read the NIH paper — or copy/paste: https://pubmed.ncbi.nlm.nih.gov/33907028/

This information is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. EmeryStar LLC, Emery Smith, and associated colleagues make no representation and assume no responsibility for the accuracy of information contained on or available through this website; such information is subject to change without notice. Confirm any information obtained here with other sources, and review all matters regarding a medical condition or treatment with your physician. Never disregard professional medical advice or delay seeking medical treatment because of something you have read or accessed here. EmeryStar LLC, Emery Smith, and associated service providers are not responsible or liable for any advice, course of treatment, diagnosis, or other information related to services or products contained within this or any associated website, webinar, podcast, TV show, documentary, or interview.