Application Form

Full name of the person to be healed.

Please enter the address of the person to receive healing.

Browse...
Browse...

Maximum size 10MB

For Direct Healing or Ki Energy classes, please pay in cash.

You won't be charged until we have made an appointment arrangement with you. You can change the method of payment later on if you like.

CAPTCHA
*Disclaimer: Results from this service cannot be guaranteed.
Please wait...