- Application for Ibogaine Treatment Form
This is a printer-friendly version of our treatment application form
( For the secure, on-line version of this form, CLICK HERE )
- Client Info
This will fill you in on all the info about lodging, payment, medical tests, etc.
- Treatment Info
This contains info about ibogaine and the treatment process.
- Pre-Treatment Guidelines
- Post-Treatment Recommendations
- Info for Family and Friends
- Consent Form
Please read this over carefully. We will go over it with you in detail after you arrive and have you sign a copy.