Cancer Support Services Announcement
The number of patients diagnosed with cancer is rising, likely due to multiple contributing factors, including toxic environmental exposures and the potential impacts of the Covid vaccination. As a result, I am now offering holistic cancer support services to those seeking alternative approaches to complement conventional treatment. I currently provide services to individuals in California, Texas, Florida, and Arizona. If you are interested, please complete the required forms and submit payment as indicated. Please Note: I strongly encourage you to continue working with your oncologist and/or primary care physician. My services are intended to support your overall wellness and are not a substitute for traditional medical care.
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birthday
-
Month
-
Day
Year
Date
Contact Number
*
Format: (000) 000-0000.
Email Address
*
example@example.com
Instagram account
Check the conditions that apply to you or any member of your immediate relatives:
Asthma
Cancer
Cardiac disease
Diabetes
Hypertension
Psychiatric disorder
Epilepsy
Other
What type of cancer? When were you diagnosed?
What treatment have you already had? If none, put N/A
Check the symptoms that you're currently experiencing:
Chest pain
Respiratory
Cardiac disease
Cardiovascular
Hematological
Lymphatic
Neurological
Psychiatric
Gastrointestinal
Genitourinary
Weight gain
Weight loss
Musculoskeletal
Other
Are you currently taking any medication or supplementation?
*
Yes
No
Please list them.
Anything else I should know?
$1,500 Initial Consultation then $250/month for ongoing management.
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