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| We request that every guest have either WhatsApp or the Signal app installed for international communication. |
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| Please share any significant and/or diagnosed medical or mental health issues here. |
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| Please note all drugs, substances, alcohol, and medications (including all psychiatric medications) that you are currently taking—and note if it is taken either rarely, occasionally, or regularly. |
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| We always recommend weaning / titrating any substance under the guidance and supervision of qualified medical professional. |
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|  Type the text shown: |
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