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Thank you for your interest in the Healing Journeys documentary film. To apply as a participant in psilocybin-assisted therapy, please complete the following form. Your participation in this film will help raise awareness about the potential benefits of this therapy and contribute to educating others on this powerful method of therapy.  We appreciate your willingness to share your story and look forward to reviewing your application.

Are you pregnant or breastfeeding?
Yes
No
Do you currently suffer from or have a history of severe cardiovascular issues, hepatitis, liver issues, schizophrenia, epilepsy, seizures, or psychotic episodes?
Yes
No
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