0%
Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters.

Visiting Nurse Association Services (VNA) by BSI

 

Welcome!

 

Use this form if you are requesting home delivery of intravenous vitamin infusions.

 

If you are not yet a member of BSI International Clinics, you may receive intravenous infusions of 1 to 3 grams of Vitamin C, with added low dose nutrients... Such as magnesium, EDTA, Silver hydrosol, 4 types of BSI Exclusive Homeopathics, Glutathione, Collagen, 7 types of B Complex, Selenium, DMSO, L-Carnitine, L-Creatine, Condroitin, Piracetam, and much more.

 

You may choose which infusion you would like to receive on the next page. You will be scheduled per your request within The Bukit area of Bali, Monday through Friday, 12 pm - 4 pm.

 

Yayasan BSI International Clinics is a Not-For-Profit Corporation. We're here to help

 

All Information Remains Confidential

 

BSI Home Page

 

Important Instructions

Recommended protocols to ensure this Questionnaire is properly received, and to save you time: 

1) We highly suggest you use a PC computer with a stable internet connection. Best not to use an Ipad, smart phone, tablet, etc. If the WIFI signal is lost on these devices, the server may reset.

2) We suggest you view this questionnaire via an up-to-date Firefox Browser.

3) Enable JavaScript on the browser. Without Javascript, the Questionnaire cannot interact with the BSI server to save your responses.

4) You may need to disable ad blockers on BSI.international for proper function. No ads or tracking are contained in this Questionnaire.

5) If you see the "One or more mandatory questions have not been answered. You cannot proceed until these have been completed" notice, then scroll down to the section and answer what is highlighted. If none apply, then check the box at the bottom of the screen that may be labeled as "none, or not sure", etc.).

6) If you need to leave the survey for more than 10 minutes, be sure to click “Resume Later” so that your responses will not be lost. This is a necessary security function. Your personal data must be protected.

7) If the session has expired, log in again using the address and password you were sent via email.

8) For your benefit, please fully answer all questions.