Are You a Good Candidate for Ibogaine? Are you personally motivated to heal yourself, not being pushed by a family member, partner, or friend?(Required) Yes No Did you research the cardiac risks of ibogaine and the many preparatory steps necessary to prepare for the treatment itself?(Required) Yes No Is This(Required) 100% SELF-PAY I NEED ASSSISTANCE Name(Required) Email(Required) Phone(Required)CAPTCHA