Medical screening form

Medical Screening Form

This ceremony is not appropriate for persons with certain medical conditions or for persons using certain medications. We realize that these questions may be sensitive. It is important for us to know the extent and severity of these experiences so we can support you in the best way possible during your work with the medicine.

PLEASE ANSWER THE FOLLOWING QUESTIONS AS COMPLETELY AND HONESTLY AS POSSIBLE. YOUR RESPONSES WILL REMAIN STRICTLY CONFIDENTIAL.

Your Signature

 

Included in Your RetreaT

A retreat hosted at Finca Mia includes all the amenities you will need to feel at home on our beautiful farm. We are thrilled that you will be joining our growing family here in the Chirripo Valley. 

FINCA MIA Facilities
  • Yoga Studio

  • Maloca Sacred Temple

  • Outdoor Saltwater Swimming Pool

  • Therapeutic Hot Tub

  • Dining area & Juice Bar

  • Wood-fired Pizza Oven

  • Community Spaces & Fire pit

  • River and Jungle trails

  • Swimming Holes & Cozy Hammocks

  • Spa Massage Huts

  • Boutique with Handcrafted Items

  • Free WIFI & Hot Showers

  • Delicious Spring Water

 
Lodging at Finca Mia

All retreats include the use of our on-site lodging in our one of a kind cabinas and tents. We have a variety of lodging options to cozily accommodate your guests, including shared or private rooms. Choose from our eco-luxury cabinas with private bathrooms or more rustic, open-air cabins and riverbank tents and shared bathrooms.

 

See our rates regarding shared or solo lodging. Rates for children also available.

View our unique lodging options

 
Dining​ at Finca Mia

Meals at Finca Mia are prepared with love, a nod to regional flavors & a commitment to superior nutrition. Our dining area is open to the jungle and leads into a spacious guest lounge with cozy couches & a wood stove. 

 

Enjoy three healthy and delicious meals per day prepared with love by Chef Ian & our talented Finca Mia culinary crew.

Our family-style meals showcase seasonal, local & organic ingredients from our own gardens and the weekly San Isidro Farmer’s Market. 

We can take care of dietary requests & food allergies. 

Retreat Guests Enjoy ...
 

Delicious breakfast buffets of farm-fresh eggs, healthy baked goods, house-made yogurt & granola, hearty oats and a bounty of tropical fruits.

 

Colorful lunch & dinner feasts featuring five courses of fresh, local fare in our open-air dining room. Our savory soups & salads, side dishes, and entrees showcase seasonal, organic vegetables; local whole grains and beans; and fish and meat dishes from our farm & the local weekly farmer’s market.

 

All-day tea & coffee service. A collection of flavorful herbal teas & local honey is available 24/7, as is our rich Costa Rican coffee.

 

Specialty meals such as Artisan Pizza Night starring piping hot pizzas fresh out of our very own wood-fired clay oven.

 

Use of our brand new juice bar situated above the canopy. Guests can enjoy views of the jungle and valley below

*All services are cash only

*All services are cash only

*All services are cash only

 

Retreat Activities

At Finca Mia, we offer additional retreat activities to enhance your experience and

stay in Costa Rica.  From relaxing spa treatments to extreme sports, we have something special for everyone.

Our Activities

  • Hike to the peak of Chirripo

  • Horseback riding adventure

  • Tandem Paragliding Adventure

  • Day hike to thermal baths

  • Day hike to botanical gardens

  • Tour and organic chocolate making workshop

  • Dairy tour and cheese tasting

  • 1/2 Day guided tour at Cloud Bridge Nature Reserve

  • Visit Cloud Bridge Nature reserve with return shuttle

  • Visit San Isidro Farmer's Market with return shuttle

 

Educational Workshops

  • Medicinal plant walk

  • Flower essences 101

  • Cabecar medicine man ceremony

  • Cabecar song and dance ceremony

The Cabecars are a remote, indigenous tribe who share their culture with us at Finca Mia through song and dance. This is an amazing opportunity to interact with beautiful people from an intact indigenous tribe. 

Health and Wellness Treatments

  • Inner alignment (NLP) $90

  • Thai massage $100 - $150

  • Deep tissue massage $100 - $150

  • Chinese acupuncture $70

  • Sweat lodge *prices varies based on attendees

  • Spa day on the River Talari $45

  • Spa services (facial, manicure, pedicure, body exfoliation) *prices vary based on service

  • Private yoga or dance class $50

*All services are cash only

 

Getting to Finca Mia

We offer a professional shuttle service to get you safely to Finca Mia. Guests typically arrive in San Jose the night prior to their arrival at Finca Mia.

Group Shuttle to Finca Mia​

Most of our guests arrive by group shuttle to our farm. Our shuttle can be arranged to match with the itinerary of most guests but generally leave San Jose in the AM and arrive at Finca Mia mid-afternoon. We offer pick-ups at both Juan Santamaria Airport and from hotels in San Jose.

Lodging in San Jose​

For guests arriving ahead of the retreat to experience the city or late in the evening can take advantage of staying in San Jose. We are happy to offer a service to book accommodation in San Jose the night prior to the shuttle to Finca Mia.

 
Dieta Guidelines

Finca Mia Farm & Retreat Center Ceremony Safety Diet

 

Hola! The entire Finca Mia family is happily preparing for your upcoming visit, and we invite you to begin preparing yourself as well. As we near the date that we join forces to celebrate and sing together, now is a good time for you to begin preparing for your dieta (safety diet). In order to help ensure that you have a magnificent, positive, and healthy retreat experience, please take the time to review the safety diet below. Please do your best to follow the safety diet below for at least two weeks prior to your first singing date.

Feel the power of the universe working its magic within you and try to become aware of your purpose or intention in taking part in your ceremony this year. It can be fun to see what manifests along this journey of self-awareness, cleansing, and preparation – enjoy your dreams!

 

THE SAFETY DIET

Contra-indicated food and pharmaceutical interactions can potentially be life-threatening, so please read and carefully heed the following advice to keep yourself, your inviter, and the facilitator safe. This will keep our excellent track record of safety and healing intact, allowing this practice to help many others for years to come.

 

In the Monoamine Oxidase Inhibitors (MAOI) safety diet, we recommend eating foods that are as fresh as possible and not overripe, preserved, smoked, cured, salted, or spoiled in any way.

 

In terms of aiding your comfort level during the ceremony cycles, meals of stir-fried, steamed, or raw vegetables work well to keep your body alkaline, therefore maximizing your cleansing and detoxification. Millet, brown rice, quinoa, and other whole grains, especially sprouted grains, are beneficial. If you digest raw foods well, emphasize salads, raw fruits and vegetables, and raw juices. If you digest eggs, chicken, fish, and other white meats well, small amounts of these foods will serve to keep you strengthened as you clean up other areas of your diet. Please aspire to eat sustainable and happily raised foods, especially meat, as the energy of the animal's life experiences will be readily apparent to you both during Dieta and ceremony. Fresh dairy products such as locally-made, cultured, fresh, soft cheeses; yogurt; and cottage cheese are fine. Keep in mind that the aging process of any food is what produces the contra-indicated substance. If you consume Kombucha, simply ask the manufacturer if the Kombucha contains the amino acid Tyramine. If not, consume with pleasure.

 

CONTRA-INDICATED FOODS

Although many people have consumed MAOI contra-indicated foods without consequence, anecdotal reports suggest that when MAOI reactions happen, they are often triggered by very small amounts of the foods to be avoided. (Aged cheeses, soy sauce, peanut butter, stale nuts, and overripe fruits have all been anecdotally implicated by forum members. On the other hand, bananas – though they appear on some MAOI-prescribed lists – appear to be completely safe as long as they are not at all overripe.) Basically, foods that are aged, preserved, dried, fermented, pickled, cured (meats), rancid, old, outdated, overripe, salt-cured, or even slightly spoiled should be avoided.

 

The following foods are recommended to be avoided with MAOIs:

  • Red meat

  • Smoked, fermented, pickled (herring) and otherwise aged or dried fish; lox; any fish that is not fresh

  • Sausage, bologna, pepperoni, salami, corned beef

  • Aged cheeses (cottage cheese and cream cheese are safe)

  • Protein extracts

  • Liquid and powdered protein dietary supplements and protein bars

  • Brewer’s yeast, yeast vitamin supplements, or yeast extracts

  • Tofu, fermented bean curd, fermented soybean paste, soy sauce, tempeh, Bragg's Amino Acids

  • Soups made with protein extracts or bouillon – eat fresh soup only!

  • Miso soup (contains fermented bean curd)

  • Shrimp paste and fish sauce

  • Sauerkraut and kimchi

  • Fruits that are bruised or even slightly overripe, especially bananas and apples; raisins and other dried fruits; figs, grapes, citrus, pineapple, plums, and prunes.

  • Avocados, if overripe (slightly under-ripe avocados are fine in moderation). Guacamole should be avoided.

  • Alcohol, especially red wine, chianti, sherry, vermouth, champagne, brandy, beers, and ales, including non-alcoholic; whiskey and liqueurs such as Drambuie.

  • Dairy products that are close to the expiration date or that have been unrefrigerated (fresh yogurt is safe).

  • Aspartame (Nutrasweet) and all chemicals and preservatives

  • Fava beans, especially if overripe

  • Peanuts, in large quantities

  • Chocolate is in a gray area; best to avoid when you are just beginning practice.

 


A FEW WORDS ABOUT SALT AND SODIUM

Although not contra-indicated on a pharmacological level, salt and sodium are traditionally avoided completely for 10 days prior to the retreats, and for one week after. (Or longer if your metabolism is slow, and takes a while to clear.) Salt can block the visual component of this medicine work. We've had many questions over the years about this salt issue; all we can say is that through many decades of direct experience with this medicine, we can “feel” viscerally that our absorption of the medicine, physically and psychologically, is not as deep or satisfying when we have consumed salty or sodium-laden foods. After experimenting on ourselves, we decided, “Why to question 16,000 years of experiential wisdom, as well as our own?”

 


CAFFEINE, SEX, AND OTHER SACRED MEDICINES

In a few rare individuals, there may be a severe interaction with even small amounts of caffeine. Aside from that, the Grandmother medicine we work with has added medicinal plants and prayers in it specifically for calming and repair of the nervous system and to heal trauma; to cut out caffeine completely for at least one week prior, or preferably one month prior to the ceremony, will optimize your benefits. This also helps cut anxiety to an amazing degree during the ceremony, making the jobs of the helpers and facilitators much easier.
 

Re other powerful medicines: Please do not engage with any other strong medicine plants for at least one week prior to and after your retreat. (Grandfather Tobacco, Mama Ganja, etc., are examples of strong plant medicines that could affect your relationship with this new energy you are feeling called to work with.) Waiting for at least one moon cycle before and after the retreat would be preferable, to give your body, psyche, and the plant spirits time to adjust. You will get much more benefit from this retreat if you take it one medicine at a time.

Tobacco is thought by many to be the Grandfather of all herbs; the sacred messenger of your prayers. If you choose to use Tobacco, please place it in a prayerful, positive context and change your habitual usage to ceremonial usages, such as at sunrise/sunset or in prayer only for the month prior to the ceremony. Please do not smoke during the ceremony, as the smell of tobacco breath from habitual usage is overwhelming to the heightened sensitivities of the other participants, whom you will be sitting very close to.

In Tantric and Taoist healing arts, bringing up sexual energy (and channeling it correctly) is considered to be a powerful and potentially "ultimate healing" medicine. Therefore it is important to abstain from Sex Medicine (and all sexual activity) for at least one week prior to the ceremony and one week after if you would like to feel the ceremony's effects more fully.

 

MEDICATIONS

Pharmaceuticals to be avoided include some over-the-counter (OTC) pharmaceuticals such as antihistamines, decongestants, and cough medicines, but more dangerous are many antidepressants (including OTCs like St John's Wort). If you are taking prescription medication (including antibiotics), are subject to high blood pressure, have a heart condition, or are under treatment for any health condition, please consult your physician about the use of temporary monoamine oxidase inhibitors (MAOI). Medical consultation is especially important if you are taking Prozac, Paxil, Wellbutrin, Effexor, Zoloft or other antidepressants affecting serotonin levels, i.e. serotonin selective reuptake inhibitors (SSRI). These medications may require a period of up to six weeks to completely clear the system and must be reduced gradually.

 

** DO NOT go off any medication abruptly, without the supervision of a licensed health practitioner. **

 

** Also, keep in mind that MAOI and therefore the vine itself are not illegal; therefore you should be able to talk to a health professional about the contra-indications of the MAOI-containing plants without fear...just don't mention the names of any specific plant medicines. **

 

Some meds may clear the system in a shorter period of time, but they still require a more lengthy abstention period than food. For example, the body should be clear of antidepressants for five weeks (35 days) in the case of SSRIs other than fluoxetine (Prozac) and eight weeks (56 days) in the case of Prozac. Caapi itself is actually an effective antidepressant.

 

The plant medicines lower your blood pressure in order to do their repair and reconstructive work, so please notify your host or inviter ONE MONTH PRIOR TO CEREMONY if you are on any blood pressure medications.

There was a report several years ago of a death related to a steroid drug interaction, so please also notify your inviter if you have been using steroids within a month of the retreat. This was not related to any of our group's activities. We screen our participants for these contra-indications.

 

CONTRA-INDICATED MEDS LIST:

  • Other MAOIs

  • SSRIs (any selective serotonin reuptake inhibitor)

  • Amphetamines (meth-, dex-, amphetamine)

  • Anti-hypertensives (high blood pressure medicine)

  • Appetite suppressants (diet pills)

  • Medicine for asthma, bronchitis, or other breathing problems

  • Antihistamines

  • Medicines for colds, sinus problems, hay fever, or allergies (Actifed DM, Benadryl, Benylin, Chlor-Trimeton, Compoz, etc.)

  • CNS (central nervous system) depressants

  • Antipsychotics

  • Alcohol & marijuana

    These specific drugs should not be combined with MAOIs:

  • Actifed

  • Amantadine hydrochloride (Symmetrel)

  • Amoxapine (Asendin)

  • Benadryl

  • Benylin

  • Bupropion (Wellbutrin)

  • Buspirone (BuSpar)

  • Carbamazepine (Tegretol, Epitol)

  • Chlor-Trimeton

  • Clomipramine (Anafranil)

  • Cocaine

  • Cyclobenzaprine (Flexeril)

  • Cyclizine (Marezine)

  • Desipramine (Pertofrane)

  • Dextromethorphan (DXM)

  • Disopyramide (Norpace)

  • Doxepin (Sinequan)

  • Ephedrine

  • Flavoxate Hydrochloride (Urispas)

  • Fluoxetine (Prozac)

  • Imipramine (Tofranil)

  • Isocarboxazid (Marplan)

  • Levodopa (Dopar, Larodopa)

  • Loratadine (Claritin)

  • Maprotiline (Ludiomil)

  • Meperidine (Demerol)

  • Methylphenidate (Ritalin)

  • Nortriptyline (Aventyl)

  • Oxybutynin chloride (Ditropan)

  • Orphenadrine (Norflex)

  • Parnate

  • Paroxetine (Paxil)

  • Phenergen

  • Phenelzine (Nardil)

  • Procainamide (Pronestyl)

  • Protriptyline (Vivactil)

  • Pseudoephedrine

  • Quinidine (Quinidex)

  • Salbutemol

  • Salmeterol

  • Selegiline (Eldepryl)

  • Sertraline (Zoloft)

  • Tegretol

  • Temaril

  • Tranylcypromine (Parnate)

  • Tricyclic antidepressants (Amitriptyline, Elavil)

  • Trimipramine (Surmontil)

  • Yohimbine

NOTE NEW ANTIBIOTIC INFORMATION:

Although antibiotics are considered safe as far as drug interactions, there is a new antibiotic being prescribed that is actually an MAOI: Linezolid is a reversible monoamine oxidase inhibitor-based antibiotic that was developed as an antidepressant but marketed as an antibiotic after it was found effective against methicillin-resistant staphylococcus aureus and other infections. Like other MAOIs, linezolid can interact with presser or serotonergic agents to cause serotonin syndrome or, more rarely, hypertensive crises. All available antidepressants interact with monoamine oxidase inhibitors.

The following herbs should not be combined with MAOIs:

  • St. John's Wort

  • Kava

  • Ephedra

  • Ginseng

  • Yohimbe

  • Sinicuichi


    IN CLOSING

    We understand that this is a lot (LOT!) of information to take in and that it may seem overwhelming and perhaps a bit scary. Take heart! ♥ The simplest way to put your mind at ease on the matter of MAOI contra-indicated foods, substances, and medications is to contact us directly (or ask your retreat facilitator to contact us) to inquire about specific items you’re concerned about, unclear on, or feel we should be aware of prior to your arrival. In the case of medications, please contact us immediately so that we may advise you far enough in advance to allow you to participate in the ceremony safely.

    You may reach us at info@fincamia.com.

    Lastly, due to the sensitive nature of the healing medicine we work with at Finca Mia, we sincerely request that you do not use the names of any specific plant medicines in connection with Finca Mia in any Facebook or other social media posts or public forums. You may refer to your experience here as a transformational retreat, yoga retreat, meditation retreat, life-changing retreat, etc. All who journey here seeking a sanctuary for healing, personal growth, and transformation thank you enormously for your respect and discretion.

    Thank you for carefully and conscientiously preparing your body and mind for your retreat. We greatly appreciate your advance preparation as it contributes significantly to creating a positive, safe, and healthy experience for all involved.

Please fill out to confirm you have read and understand the Dieta

Finca Mia

Los Angeles de Rivas

Perez Zelezon

Costa Rica

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