• Warrior intake and medical history form

    Please only fill out this form once you have already made the decision to take Kambo. Answer as honestly and accurately as possible, this is a confidential & judgment-free zone.
  • Date of Birth
     - -
  • Format: (000) 000-0000.

  • In case of emergency

  • Format: (000) 000-0000.
  • Are you currently talking any medications or vitamins? *

  • Although Kambo is completely safe when administered correctly, there are some situations where Kambo is contraindicated and cautioned against. These conditions are listed below.

    •Serious heart problems or those who have had heart surgery. (This includes a Pacemaker but excludes Stents).


    •Stroke or a brain haemorrhage.


    •Have an aneurism or blood clot.


    •Are recovering from a major surgical procedure with internal stitches.


    •Are on medication for low blood pressure.

    •Lack the mental capacity to make the decision to take Kambo.


    •Serious mental health problems, (excluding depression, PTSD and anxiety).


    •Are undergoing chemotherapy, radiotherapy or have done so within the last 4 weeks.


    •Are taking immune-suppressants after organ transplant.


    •Addison’s Disease. 


    •Current and severe epilepsy.


    •Recovering from a major surgical procedure.

    •Under 18 years old.


    •Certain types of Ehlers-Dalos Syndrome (EDS)


    •Currently Pregnant or breast-feeding a child under 6 months old.


    •Have consumed Bufo, Iboga 90 or Ibogaine in the last 6 weeks.


    •Fasting, juice cleanses, steam room, sauna, hot yoga and hydrocolon therapy 3 days before or after your Kambo treatment

  • I have read the above contraindications and I confirm that I am completely compatible to take Kambo *
  • Do you have or have you ever had any severe heart problems? *
  • Do you take any medication for low blood pressure? *
  • Have you ever had a stroke? *
  • Have you ever had a brain haemorrhage? *
  • Have you ever had a blood aneurism or blood clot? *
  • Did you have or are you currently experiencing serious mental issues (excluding depression, eating disorders and anxiety)? *
  • Are you currently undergoing or have you undergone chemotherapy or radiotherapy in the last 4 weeks? *
  • Are you currently taking medication to surpress your immune system (ex after organ transplant)? *
  • Do you have Addisons disease? *
  • Do you have severe epilepsy that requires medication? *
  • Have you had an operation in the last 6 months?*
  • Are you pregnant or breastfeeding a child under 6 months? (Sidenote: there have been excellent results with Kambo and infertility) *
  • Have you had Iboga in the last 90 days or Bufo in the last 30 days? *
  • Fasting, hydrocolon therapy, sauna, or hot yoga is not allowed 3 days prior and 3 days after Kambo. Can you please confirm to abide by this? (Ramadaan fasting is ok, 24h or longer fasts are not) *
  • Have you had kambo before?
  • Are you prepared to fast for 8 hours before your treatment, drinking and eating nothing except water or herbal tea? (Fasting alone is a great practice, FYI) *
  • Will you confirm that you will notify me if you have the urge to go to the toilet so that I may guide you to the door? *
  • Are you prepared to have three points ( or more depending on dosage) gently burned onto your skin to create an avenue to your lymphatic system for the Kambo medicine to take hold? *
  • Are you prepared to experience discomfort, nausea and to vomit into a bucket ( with other recipients in the room if you are doing a group session) as you detox your mind, body, heart and soul? *
  • Have you had or do you have any problems with vomiting? ( Ex I have only thrown up 3 times in my life/ I had a trauma and can’t since) *

  • Your Kambo ceremony will be approximately 3.5 hours for group session and 2 hour for a private.
  • Please see the table below and confirm that you will abide by any relevant abstinence period prior to your Kambo treatment. *
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  • And you are done!

    Once your application has been accepted I will be in touch l to discuss the time and date of your treatment. Any questions you have can be addressed then. Alternatively, you can contact me directly on Whatsapp +91 6238707809 or on Instagram @theseedoflife_ Once your booking is confirmed you will receive a Detox Experience Guide with suggestions on how to perpare, aftercare, what to bring, and where to find me. Get ready for epic transformation, it all goes uphill from here. Looking forward to purging you!  The Seed of Life
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