Healing Request
 

Distance Healing Request Form

Full Name:
City & State (where you live):
Phone Number:
Email:
Date of Birth (mm/dd/yy):
How did you hear about me?:
Healing Request:
   
After filling out the prayer request form, please send a picture to Cynthia, thank you.

If you are not able to meet with me in person, I offer distance healing which can be as effective as meeting in person.  For me to best help you, please fill out the Healing Request form as completely as possible and email it to me along with a recent photo. In order to receive the most benefit from the healing energy, please don't eat pork or drink alcohol for 7 days following the session.

After your healing request has been received, I will send energy that night, at some point between 11 PM and 6 AM. The following day, you will receive an email confirmation that energy was sent. Distance healing is done by donation. Donations are accepted via Paypal or by check.

If you would like to speak with me directly, I offer a 30 minute phone consultation which includes a distant healing session.