Agreement Philippines

Alternative Therapies

PSYCHIC SURGERY HEALING

Home
Diary
Psychic Surgery
- Psychic Surgery Explained
- Trips To Visit A Psychic Surgeon
- The Two Best Surgeons
  - Laurence Cacteng
  - Jun Labo
- Those were cured with psychic surgery
- Psychic Surgery Genuine
- A much needed approach
- Can Psychic Surgery cure my xxx
- Psychic Surgery Investigated
- Dear Dr Oncologist
- Psychic Surgery Movie
Consultations
Cancers
- Why have I got cancer?
- A better approach
- Those recovered with Psychic Surgery
- Breast Cancer
- Prostate Cancer
- Dear Dr. Oncologist
- Clean your organs naturally
- Herbals To Fight Cancer
- Modern Medicine Weapons
Heal Those
Therapies
- Diploma Courses
  - Oriental Diagnosis course
  - Anatomy And Physiology Course
- Our Videos For Well Being
- eBooks on Health
- Aromatherapy
- Reiki Healing
- Reflexology Foot Massage
- Acupressure
- Indian Head Massage
- Professional Massage
About Me
- My Background
- Diplomas
Contact

Please be kind enough to fill the form below so we can serve you better.

This Form cannot be submitted until the missing
fields (labelled below in red) have been filled in

Your Group Trip to the Philippines is Booked

Please note that all fields followed by an asterisk must be filled in.

First Name*

Last Name*

Gender*

Year of birth*

Your weight in kgs

Your height in cms

Email address*

City

Country*

Cell Phone Number including country code*

Specify which to use to contact you + your id: Skype or WhatsApp or Messenger

If sharing a room, full name of your partner. He/she must fill another form

Day & Time of arrival*

Return Flight Date & Time*

Are you bringing a wheelchair?*

If you intends to join my lectures (you must speak good English) please explain your health problems. This will be used by Patrick to help you.*

What medication(s) are you taking?*

What vitamins/ herbs are you taking?*

Do you exercise? Which and how often?*

Do you only eat any organic foods?*

	Yes
	No

I eat at least 3 vegetables daly for lunch and dinner*

	True
	False

I eat chicken*

	6 or more times a week
	3 to 5 times a week
	1 to 2 times a week
	Never

I eat pork or beef*

	6 or more times a week
	3 to 5 times a week
	1 to 2 times a week
	Never

Other meat I eat:*

I eat dairy products from cow, goat, sheep, etc..*

	6 or more times a week
	3 to 5 times a week
	1 to 2 times a week
	Never

I eat gluten products such as bread or cakes or biscuits or floury products (i.e. pasta..) or wheat food *

	6 or more times a week
	3 to 5 times a week
	1 to 2 times a week
	Never

I eat tropical fruits (oranges, bananas, kiwi, mangoes, etc..)*

	6 or more times a week
	3 to 5 times a week
	1 to 2 times a week
	Never

I eat tin food or pre-prepared meals*

	True
	False

I always check labels to make sure I don't eat any harmful chemicals (additives, coloring, etc..)*

	True
	False

I drink alcohol*

	6 or more times a week
	3 to 5 times a week
	1 to 2 times a week
	Never

I smoke*

	True
	False

Confirm your acceptance of our Agreement at www.therapies.com/agreement.html on behalf of ALL travelers*

	I/we have read it and I/We agree to its terms
	I/we have not read it but agree to it anyway

How did you hear about our trips?*

Please enter the word that you see below.

PSYCHIC SURGERY: Powerful healing for cancer, heart problems, diabetes, aches and pains, etc..

First Name*:

Email*: