Medical Information Form
Thank you for taking the time to complete this form. All information will be kept confidential and only read by the retreat organisers and facilitators.
Important Notice: This retreat is not a substitute for medical or psychological care provided by your healthcare provider. We recommend consulting your GP or healthcare provider if you have any questions or concerns about your health before participating in the retreat.
If there are any significant changes in your health between the completion of this form and your attendance at the Frequency of Love, please inform your us. This will help us ensure that we provide the appropriate support for you to have the best experience possible.
Please complete all fields in this form before submitting. If a question does not apply to you, simply write “n/a”.
Thank you!
Frequency of Love Team
For any issues or questions completing the application form please contact: hello@jessigalvin.com
