Please select one
Please complete this field (write None if nothing applies)
Understanding what brings you to Kambo helps your facilitator prepare and serve you well. This information is confidential and used only to support your session.
Please share your intention before continuing
VII
Substance Guideline List
The following substances must be abstained from before and after a Kambo session. Please read each guideline carefully, then confirm your understanding with the acknowledgment below.
| Substance |
Before session |
After session |
| Alcohol (High Doses) | 48 Hours | 7 Days |
| Alcohol (Low Doses) | 12 Hours | 24 Hours |
| Amphetamines (Adderall, Ritalin) | 7 Days | 7 Days |
| Anti-Convulsants | Must discuss with facilitator |
| Anti-Psychotics | Contraindicated |
| Ayahuasca & Analogues | 24 Hours | 24 Hours |
| Benzodiazepines (Valium, Diazepam) | 18 Hours | 8 Hours |
| Beta Blockers | Do not take morning of | 8 Hours |
| Blood Thinners | Do not take morning of | 8 Hours |
| Botox | 7 Days | 7 Days |
| Bufo | 24 Hours | 6 Weeks |
| Cannabis | 12 Hours | 24 Hours |
| Cocaine | 3 Days | 5 Days |
| Crack Cocaine | 7 Days | 7 Days |
| Ecstasy (MDMA) | 7 Days | 7 Days |
| Fentanyl | Contraindicated |
| Heroin | 14 Days | 14 Days |
| Methamphetamine | 30 Days | 30 Days |
| Morphine / Oxycodone | 5 Days | 5 Days |
| LSD | 48 Hours | 72 Hours |
| Psilocybin | 24 Hours | 24 Hours |
| Tramadol | 48 Hours | 24 Hours |
| Vasoconstrictors (Triptans) | 3 Days | 12 Hours |
| Covid Vaccine | 30 Days | 7 Days |
You must acknowledge the substance guidelines to continue
VIII
Liability Release and Assumption of Risk
This waiver includes a comprehensive release of liability clause, stating that the participant agrees to participate voluntarily and assumes full responsibility for any outcomes.
The practitioner and the organization they are affiliated with are absolved of all responsibility for any potential injuries (physical or psychological) or death resulting from participation in a Kambo session, regardless of circumstances or disclosed health information.
The participant acknowledges that they are voluntarily engaging in this practice at their own risk. By signing below, the participant affirms that they have been fully informed of the nature of Kambo, its potential risks and effects, and that they are choosing to participate of their own free will.
The participant further acknowledges that no guarantees have been made regarding outcomes or results, and that the facilitator's role is solely to support the process. Nothing in this session constitutes medical or psychological advice or treatment.
IX
Agreement and Signature
By signing below, you confirm that you have read, understood, and agree to the terms outlined in this document, and that you are participating voluntarily in the Kambo ceremony.
You must acknowledge the preparation guidelines to continue
You must acknowledge and agree to continue
Draw your signature
Signature is required
X
Pre-Session Consultation
Before every session, Gateway Kambo requires a brief consultation call — by phone or video — with your facilitator, William Wisner. This call is not an additional screening; it is an opportunity to review your intake, discuss your intention, address any questions, and ensure your session is tailored to serve you as well as possible.
William will reach out to schedule your consultation after reviewing your completed waiver. Most calls are 15–30 minutes.
Please select a preference
Please select a time preference