MEDICAL FORM:

                  For Plant Medicine Retreats

Please Disclose Any And All Health Conditions That Have Been Diagnosed Or That You Feel You May Have, But Have Been Un-Diagnosed To Date. Being Transparent On This Form Is Essential To The Safety Of All Who Attend and work on Our Retreats. The information you present here is confidential and will not be held up for judgement or shared with anyone outside of our small group of healers, in order to offer the highest level of care that we can to all of our guests. Thank You In Advance For Your Truth And Transparency. We Appreciate You.