Study Participation Form

Research Study with Dr. Glen Rein

Located in Hallandale Beach, Florida | March 4–7

The Light System, in conjunction with Dr. Glen Rein, will be conducting a research study on March 4 & 5 to measure changes in cellular conductivity following exposure to The Light System technology.

Participants will receive a complimentary 1-hour session and $100 USD upon completion of all required follow-ups.

Please complete the form below if you are available and interested.

What Participation Involves

1-hour Light System session (March 4 or 5)
Cheek swab samples:
- Before session
- 30 minutes into session
- Immediately after session
Two brief 5-minute follow-ups:
- 24 hours after session
- 48 hours after session

Which session and follow-up schedule works best for you?

March 4 (with follow-ups on March 5 & March 6)

March 5 (with follow-ups on March 6 & March 7)

First name

Last name

Phone

I confirm that I am 18 years of age or older.

Do you agree to complete all required swabs and follow-up visits, understanding that compensation will be provided only after all required visits are completed?

Yes

Anything we should know before scheduling you?

(optional)