Treatment of Chronic Leukemie and A.I.D.S


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Fill this form and send to [email protected]

First name, last name_____________________________________________

Date of birth_________________________plase(town)__________________

Country_______________________domicile(town)_____________________

Country______________________phone number______________________

Appearance of disease(year)_______diagnostic_________________________

_______________________________________________________________

Hemoglobin______place of hospitalization(town,country)_________________

Period(duration)________Consultant Doctor___________________________

For you attention:

  • 1. 50% payment is made after 6 days from treatment start,possibility to see the effect of treatment, but the remainder 50% is paid within 15 days.
  • 2. If the payment is not made within 6 days the treatment i? interrupted.
  • 3. The same time with the blank send photocopy passport.
  • 4. Please, mention below the evolution of the disease.

    For many informations contact [email protected]