Please enter your basic information:

First Name

Last Name

Email

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What type(s) of healing(s) did you experience (check all that apply)?

Physical Healing

Spiritual Healing

Emotional Healing

Mental Healing

What was your original condition or diagnosis?

Was your original condition diagnosed by a medical professional?
Please choose Yes No

How did you interact with Dr. Nemeh (check all that apply)?

At a healing service

At his medical office

Over the phone or Skype

Approximately what date did your healing occur (mm/dd/yyyy)?

What was the outcome of your interaction with Dr. Nemeh?

How has your original condition improved?

Do your doctors know about your healing?
Please choose Yes No

Would you be willing to share a copy of your medical documentation?
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Please provide us with with basic contact information:

Phone Number

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