Part One
Plant & Amphibian Medicine — Kambo and Bufo (Otac) 5-MeO-DMT
1. Voluntary Participation
I acknowledge that my participation in any ceremony, session, or gathering involving plant or amphibian medicine offered by Desert Medicine and its practitioner, Ryanne (the "Practitioner"), is entirely voluntary. I am participating of my own free will, without coercion or promise of any specific outcome.
2. Nature of the Work; Not Medical Care
I understand that these are traditional, ceremonial, and spiritual practices. The Practitioner is not a physician, psychiatrist, psychologist, nurse, or licensed medical provider, and nothing offered constitutes medical advice, diagnosis, treatment, psychotherapy, or a substitute for care from a licensed healthcare professional. No representation, guarantee, or warranty of any result, healing, cure, or benefit has been made to me.
3. Assumption of Risk
I understand that participation carries inherent risks, which may include but are not limited to: nausea, vomiting, diarrhea, purging, swelling, facial or bodily edema, dizziness, fainting, temporary changes in blood pressure or heart rate, dehydration, electrolyte imbalance, skin marks or scarring at application points, headache, fatigue, intense emotional release, anxiety, disorientation, altered states of consciousness, ego dissolution, and the surfacing of difficult memories or psychological material. In rare cases, serious adverse events, including life-threatening events, may occur. I knowingly and voluntarily assume all such risks, known and unknown.
4. Disclosure and Screening
I agree to disclose fully and truthfully my complete medical, psychiatric, and medication history, including any cardiac condition, high or low blood pressure, stroke, aneurysm, seizure disorder, organ condition, diabetes, autoimmune condition, recent surgery, pregnancy, breastfeeding, or use of prescription or recreational substances, including SSRIs, MAOIs, lithium, tramadol, or other serotonergic medications. I understand that withholding or misrepresenting information may place me at serious risk and that the Practitioner reserves the right to decline or discontinue service at any time, at their sole discretion, for safety reasons.
5. No Substances; Conduct
I agree not to attend under the influence of alcohol or unapproved substances, to follow all preparation and dieta instructions provided to me, and to follow the Practitioner's instructions during the session. I agree to allow myself adequate time to rest and integrate after the session before resuming my regular activities.
6. Release and Waiver
To the fullest extent permitted by law, I hereby release, waive, discharge, and covenant not to sue the Practitioner, Desert Medicine, and their agents, assistants, hosts, and property owners from any and all claims, demands, damages, liabilities, actions, or causes of action of any kind arising out of or related to my participation, including those arising from ordinary negligence. I further agree to indemnify and hold harmless the released parties from any claim brought by me or on my behalf. This release does not apply to gross negligence or willful misconduct where such waiver is prohibited by law.
7. Emergency Care
I authorize the Practitioner to seek emergency medical care on my behalf if deemed necessary, and I accept financial responsibility for any such care.