Medical Form

We look forward to being with you on retreat !

Please take the time to complete this form. It is the first step to register for any of our retreats.

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Many Blessings

The traditional Shipibo amazonian medicine ceremony is rooted in the ancient practice of finding the cure. The intention is to bring the body back into its whole state. This is one of the oldest forms of shamanism, the Shipibo tradition itself is one of the oldest existing in the amazon. Participation in the ceremonies can involve dramatic experiences accompanied by strong emotional and physical release. This ceremony is not appropriate for persons with certain medical conditions or for persons using certain medications. Please answer the following questions as completely and honestly as possible. Your responses will remain strictly confidential.