Check the conditions that apply to you or to any members of your immediate relatives:
On medication for low blood pressure
Had a brain haemorrhage
Had chemo in the last 4-6 weeks
Aneurisms or blood clots
Current or severe epilepsy
Recovering from surgery
Check the symptoms that you're currently experiencing:
Do you have any medication allergies?
Are you currently taking any medication?
Please specify medications
Have you had a covid 19 vaccine
Have you taken plant medicine In The past?
Date & which plant medicine?
Do you use or do you have history of using illegal drugs?
Please specify drugs & usage
How often do you consume alcohol?
By signing this you have been honest with your replies. I understand & agree to partake in the healing treatment. Payments, Cancellations and RefundsAll ceremonies, treatments, services and products must be paid for in full in advance (At time of booking or purchase). By Bank Transfer or Cash if booking in person.CancellationsIf you need to cancel please give as much warning as possible as this will affect the amount you are refunded.Refunds If cancelling with 72 + hours notice a refund of 50% of the cost will be issued. Cancellations with less than 72 hours notice - no refund given. If cancellation of event is made by me, a full refund or credit will be issued.
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