Only submit your request if you are happy to share the information publically.
Please fill in the details below and we will review your request within 24 hours.
If your request is successfull it will stop on our healing page for upto 6 months.
If you would like to be added again please send a new request.
Please note that certain information as indicated below will be viewable by our healing circle and the general public.
We do not pass on any of your private information (Email address, your name etc...) with any third parties.
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