Reserve Your Spot Name * First Name Last Name Email * Phone * (###) ### #### Briefly describe a few intentions for this retreat? How did you hear about this retreat? In what ways do you take care of your mind and body daily? Do you have any allergies? Do you have any food restrictions? Are you currently taking any prescribed medications for depression or sleep issues? If so which ones? Can you tell us a few ways we can support you? (For example...you may need extra food or you have social anxiety or anything?) Have you participated in plant medicine before? When was the last time you drank alcohol? When was the last time you took mushrooms, ketamine, cocaine, or any other substance? No judgements here...can you please share any history of psychological medications prescribed Please share any pharmacy medications you currently take What herbal supplements do you currently take? Thank you!
