Atlar wants to ensure that you have a safe and enlightening healing experience. There are 4 primary sections in this questionnaire - Journey History, Mental History, Medical History, and Integration. Please read through the following carefully and complete the form thoroughly.

Our program is not suitable for anyone who has been diagnosed with schizophrenia, those who experience manic episodes or anyone on the contraindicated medications listed below. Completing this form confirms that you are over 18 years of age.