Soothing Sensations Wellness Center
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St. Dymphna Reiki Fund for Cancer Patients
Bringing Hope and Faith to those who Request Healing
Application Request for Assistance:
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Indicates required field
Date of Request:
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Name
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First
Last
Phone Number
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Address
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How Did You Hear About Us?
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Please tell us about yourself and your illness. How it is impacting your life?
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How do you feel receiving Reiki treatments will assist you?
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Please explain to us how your illness has created financial hardship and why you feel you qualify to receive assistance towards receiving Reiki treatments through Soothing Sensations Wellness Center.
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