Please fill out the Kambo Consultation Intake Form for a prompt follow-up email to schedule a telephone conversation. Thank you!
Important: This is a CONFIDENTIAL questionnaire to help in assessing if Kambo is safe for you. Some health conditions and medications are contraindicated. By submitting this form you are acknowledging that all information is true and that you have not withheld or obfuscated anything vital. Failure to disclose vital health and / or medical history information can potentially result in serious safety issues.
If you have technical issues with the form, I can also email you a document to fill-out and return.
I am currently not seeing clients or conducting clinics as I have transitioned-out of NYC and have yet to set-up shop elsewhere. Hoping to resume seeing clients by the Fall / Winter 2022 in Las Vegas (Henderson) and an as-yet to be determined place on the East Coast. Please check back for updates (posted this edit Sunday, April 17, 2022 | Easter)
CONSULTATION / INTAKE FORM -
DISCLAIMER -
- Kambo & Rife / Resonant Frequency Therapy are not Medicines
- IAKP & Rife / Resonant Frequency Therapy Practitioners are not Doctors nor any other Form of Medical Practitioners
- IAKP & Rife / Resonant Frequency Therapy Practitioners do not Diagnose Disease, Offer Health Advice, Treat Physical or Mental Health Ailments or Prescribe Medication
- Participants are Advised to do their own Research as to the Potential Benefits of Taking Kambo or Getting Rife / Resonant Frequency Therapy - None are Offered or Implied Here
- KAMBO is a Indigenous, Ancestral Practice from the Amazon Rainforest - It is not a Medical Treatment
- Rife / Resonant Frequency Therapy is not a Medical Treatment
- Please Note that None of the Services Offered on this Website Constitute any Form of Medical Practice