Individual trip enquiry form

Laurence Cacteng is a gifted Filipino Psychic Surgeon. He is documented as having cured 10,000s patients over his long career. Laurence channels Jesus. Through Patrick, he offers treatments at his healing centre in the Philippines.

Patrick Hamouy - Cured himself of liver and large intestines cancers diagnosed in July 1991. Author of several books on how to recover health using the power of foods & herbs. Patrick has helped thousands recover well-being through his internet health consultations, and lectures.

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

Your Individual 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*

Email Address*

City

Country*

Cell Phone Number including country code*

Are you on WhatsApp?*

How many of you are coming?*

Next of kin name, phone number and email address to contact in case of emergency:*

Day & Time of arrival*

Return Flight Date, Time & Number*

Are you bringing a wheelchair?*

How many of you intend to have a consultation?*

If having a consultation, what are Visitor 1 Health Concerns? List them in order of importance and explain what treatments / drugs / natural remedy you have used for them

If having a consultation, what are Visitor 2 Health Concerns? List them in order of importance and explain what treatments / drugs / natural remedy you have used for them

How did you hear about our trips?*

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