Informed Consent

I am excited that you have decided to take part in a Kambo treatment. You acknowledge that taking part in the treatment is entirely voluntary. You are urged to discuss with me any questions about the process you might encounter during the treatment. I ask that you read all the information I have sent to you to make sure that you qualify to take a Kambo treatment. Your signature is required on this form to show that you understand the discomforts and risks and agree to take part.

Some of the essential information you will need to know to participate in the treatment has been outlined below. You acknowledge that I have discussed any information with you that is not outlined in this document.

Contraindications:

Please read through these contraindications and let Me know if you have any of these conditions that would make it unsafe for you to take Kambo.

  • Serious heart problems

  • have had a stroke

  • on medication for low blood pressure

  • have had a brain hemorrhage

  • have an aneurysm or blood clots

  • lack the mental capacity to decide to take Kambo

  • Severe mental health problems excluding depression and anxiety

  • undergoing chemotherapy or radiotherapy in the last 4-6 weeks

  • breastfeeding a child under 6 months

  • have Addison's disease

  • have Ehlers-danlos syndrome

  • have severe epilepsy

  • are recovering from a major surgical procedure

  • under 18 years of age

Cautions before and after taking Kambo:

  • taking immune0 suppressants for autoimmune disorders

  • taking slimming, serotonin, or sleeping supplements

  • active drug or alcohol addiction

  • long-term or water fasting for 7 days before or after Kambo other than required fasting.

  • Colonics, enemas, liver flushes, or any water-based detox should be avoided within 3 days on either side of Kambo.

Discomforts and Risks

Though Kambo is safe for most people, the following discomforts and risks could be associated with your Kambo treatment.

Some discomfort may follow for 1-5 days after taking Kambo. Most are resolved by the next day; however, some may persist longer. Some discomforts may include nausea, vomiting, headache (due to toxin release or tension), feeling some fatigue and sleepiness, and possible depression or anxiety. please note that this can be a process and usually resolves within 1-5 days

There are some risks, that if you have an existing condition, you may experience a herxheimer effect which is when the symptoms get worse before getting better, much like when you are detoxing.

To date, there have been four instances of esophageal rupture after using Kambo. Kambo is not the cause of these ruptures; however, a rupture could occur with a pre-existing condition. If after Kambo you experience dizziness, pain, or vomiting blood, please call Me and seek medical attention.

Burning of the skin may produce Scarring.

Signature and Consent to participate in Kambo Treatment:

Before deciding on participation in this Kambo treatment, you have:

  • reviewed the information in this form.

  • Had the opportunity to ask any questions you have regarding the treatment.

  • Done individual research on Kambo.

Your signature below means that you have received this information have asked questions about the treatment, and those questions have been answered.

Participant: By signing this consent form, you indicate that you voluntarily choose to participate in this Kambo treatment.