Request For  Distance Healing

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If you , or someone you know , wish to receive Distant Healing , please take a moment to complete the form below. You will receive confirmation within a few days.

"Every request shall be attended to. It is advisable for very serious illness to make request 2-3 times a week. For moderate ones I suggest weekly request till results have been achieved."


Request for Distant Healing

This is a free service.



who is to be treated?
Other Person

Particulars of Patient












Would you like to receive any intuitive feedback that comes during the treatment?

Yes                    No

Your e-mail Address:    


Requesting healing for the following condition(s):


Treated by   

( Pls. indicate Healer's name for follow up request )

Please note that some of our Healers need a location to be able to focus their efforts. If the patient is in hospital, please provide name and location of hospital. Our Healers may not be familiar with the usual practice of abbreviating state names. If you could remember this when completing the form that would be helpful to us in managing your request.