Kambo Self-Application Course

Please apply here to be considered for the Kambo Self-Application Course. Your form will be reviewed and screened for any contraindications / overall program fit. Please allow 72 hours for a response.

Name

First Name

Last Name

Phone

Country

(###)

###

####

Location and Time Zone

Do you have any health or psychological diagnoses? Please include the type, year, and treatment.

Presently, what are your main symptoms that you would like to address? How severe are they?

Do you have any mercury fillings or root canals? Do you know if you have jaw cavitations?

Are you on any medications? Include dosage, how long you have been on them, and what they're for.

Do you know if you are living in mold? Have you had any biotoxin testing?

Do you know if you have parasites?

Are you familiar with nervous system science and chronic health?

This protocol involves mostly lighter doses and occasional higher doses. Do you have someone who can sit with you once per month?

Yes

What is your intention for this journey together? Do you have any questions or anything else you'd like me to know?

Kambo Self-Application Course

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