Medical history and screening

As part of my application to participate in the One Light Tribe meditation circle, I am completing this confidential Medical History and Screening Form in order to support the groups efforts to ensure the safety of myself and those others participating. The information provided on this form will be kept used by the organizers to determine the appropriateness of my participation.

I understand that this gathering is a Spiritual and Religious undertaking and while great personal growth can occur, the experience should not be considered a substitute for medical treatment or psychotherapy. It may not be appropriate for those with certain medical conditions, those diagnosed with mental illness or for those using certain medications.