Please take your time in completing this medical form. It is for your own safety that we require you to disclose as much detail about your medical history as possible. The information you supply is treated with the strictest confidence. We will do our best to accommodate everyone on the psychedelic programmes, but we do reserve the right to refuse participation if we feel your safety or that of the group may be compromised.
[contact-form-7 id="7857" title="Medical Form"]