Han Yak Application         Name: Referred By: Address:   City:   State: Zip Home Phone: Work Phone: Male Female Date of Birth: Time of Birth:   mm am pm Location of Birth: Employer: Type of Business: Position: Years with Firm:         Dr. JiMong Choe and/or Choe's Miracle Acupuncture & Herb Center is not liable for any actions or behaviors of the applicant. Furthermore, the applicant waives all claims against Dr. JiMong Choe and/or Choe's Miracle Acupuncture & Herb Center in regard to the application for, and the receipt of Han Yak.     Client Information. Results are not guaranteed. Be sure to follow instructions. Dr. JiMong Choe and/or Choe's Miracle Acupuncture & Herb Center is not responsible for the misuse of this or any medication. Han Yak historically has no side effects. If user experiences a positive change in condition during or after Han Yuk treatment, we recommend that you notify the Choe's Miracle Acupuncture & Herb Center, in order to update your records. If an illness is contracted (cold, flu etc.) during treatment course, it may affect the results and effects; the Client should discontinue use and contact the Choe's Miracle Acupuncture & Herb Center for instructions.   Change your life with Han Yak for only $400.00     Back to Menu     © 2006 Dr. Jimong, Inc. All Rights Reserved