Custom Cancer Protocol

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Name

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Country

Do you have any form of Brain Cancer?

Yes
No

Type of Cancer

Stage of Cancer

Remission Details (Required for custom protocol)

Weight of the Patient:

Age of the Patient

Is the Patient Covid Vaccinated?

Yes
No

Current Treatments/Other Information (optional):

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Email

LINE ID: FIRSTMEDINC

info@firstmedinc.com

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Email / LINE ID

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Message

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