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Ceremonies
Luxury Psychedelic Retreats
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Application form
FAQ Retreats
FAQ Ayahuasca
*
Name
*
Phone
*
Email
*
Are you currently consuming any illicit drugs or alcohol, if so please detail what you've consumed the last year and how much. Please be as detailed as possible
*
Do you have any health issues, heart issues, cancer, auto immune issues, or any hospitalizations surgeries
*
Which Sacred Plant Medicine Are You Seeking?
Ibogaine
Ayahuasca
5 MeO DMT
Magic Mushrooms/ Psilocybin
Other
*
Are You Currently Taking Any Medication's
Antidepressants
Blood Pressure -Cholesterol -Heart
Benzodiazepine
SSRI
SNRI
Opiates/ Opioids /Pain Meds
Stimulants- adderall/ Vyvanse /Ritalin
NONE OF THESE
Other
*
What issues are you trying to solve or resolve or get healing for
Depression
PTSD
Trauma
Gut issues
Brain fog
Addictions (please go in a detail below)
NONE OF THESE
Other
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What issues or problems are you trying to heal from, resolve with the sacred medicine?
*
What are the dates you're looking for to enroll and one of our plant medicine retreats?
*
Is there any details you would like us to know? Any details, or anything we missed? Please let us know
Submit
*
What is your budget?
$3,000-$5,000
$5,000-$15,000
$15,000- $25,000
$25,000 +
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