Please list any illnesses or health issues. Make sure to list all present medications and/or treatments.
What would you like to accomplish by attending this retreat?
For double occupancy, both parties should fill out the application form
The Amaveda detox program is for educational purposes only and does not aim to treat, cure, mitigate, or prevent any disease. If you have a serious medical condition or are on prescription medication, consult your healthcare practitioner before participating. Your prescribing physician must be informed of your intention to detox. By proceeding with the program, you acknowledge full responsibility for any outcomes it may produce.
