PUCALLPA · UCAYALI · PERU
Before you come, write to us
Please answer the questions below in your own email and send them to shipiboayahuasca@gmail.com. Put “Retreat pre-screen” in the subject. At the top of the email, write your name, a phone number or WhatsApp, the email we should reply to, the stay you are asking about, your preferred dates, and how you heard about us.
These answers are for the shaman and care team. This is not a physician’s assessment. If medication or a diagnosis is left out, we may be unable to receive you.
- Do you have any current health problems, or are you taking any medication, including herbs and supplements?
- Do you have any heart or blood-pressure condition?
- Are you hoping to work with a mental or emotional difficulty? If yes, what is it?
- Have you ever been hospitalized, including for surgery, a psychiatric stay, or an emergency?
- In the past three months, have you used any prescription medication, especially an antidepressant, a psychiatric medicine, or a migraine medicine?
- Are you hoping to address alcohol or drug dependence?
- What is your main reason for choosing ayahuasca and plant work?
- If there is an illness, injury, or trauma you want us to know about, please describe it in as much detail as you are willing to share.
- If you have a medical diagnosis you feel we should know about, please tell us.
- Are you pregnant or breastfeeding?
- Have you ever been diagnosed with psychosis, bipolar disorder, or a seizure disorder?
- Are you taking an SSRI, an MAOI, or any other psychiatric medication?
- Have you used recreational drugs recently? If yes, which ones, and when?
- What is your name?
- What phone number or WhatsApp should we use, and which email should we reply to?
- How did you hear about this retreat?