Healing Humanity Participation Application

Healing Humanity – Participation Application

Please fill out completely.

Name(Required)
Address(Required)
MM slash DD slash YYYY
Are you currently eating carnivore?(Required)
Select one of the categories below that you feel best fits your healing story. Only choose one.(Required)
Are you willing and able to provide medical records to support your diagnosis? For aging, this might only be lab results, vitals, and/or office visit notes from your latest doctor visit showing that your health is excellent for your age.
Are you willing to share your health journey with a film crew at your home and/or location near you?(Required)
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.

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