Requesting Kambo ceremony
This is a form needed to request an individual ceremony of Kambo treatment in Amsterdam
First, please read about Kambo, and what to expect during the ceremony.

Following this fill in the replies; I will be contacting your shortly.

Your name
About your health condition
In some cases, Kambo is NOT advisable. Therefore it is important that you answer the questions honestly.
Select if any of the following conditions are applicable to you. *
In the past 4 months, I... *
If there is any condition that you want to share with me before your ceremony, please write below.
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