I am committed to the safety of client and participants.

• I ensure an extensive vetting process prior to serving anyone.
• The safety of the client is to be my top priority. Never is the client’s safety and wellbeing to be put at risk, no matter the situation or objective.
• I do thorough and comprehensive preparation with each client.
• I ensure that clients are medically and psychologically eligible before enrolling them in treatment. An eligible client is one that has the resources necessary to engage in treatment, ideally including supportive people in their life and a stable and safe living environment.
• In case of any doubt, I will ask for prior written consent from my masters, mentors and/or colleagues with appropriate medical specialty.
• I take an active role in preventing physical and psychological harm, provide clear direction if needed to prevent imminent one.
• I will never possess or be under the influence of any intoxicant or controlled substance before or during a ceremony.
• I will never serve more than one person at a time, no matter the situation. I may serve two clients but only with a certified assistant.
• A ceremony is always held inside. Exteriors and places where emergency personnel cannot easily access are prohibited.
• I inform clients of the actions we will take to ensure his safety. I ask clients not to leave during medicine sessions and to follow instructions given to them.
• I am responsive in cases of client crisis for the duration of time that the client is in my professional care. I have a crisis response plan prepared.
• I provide consistent care to clients. I never abandon a client. I conduct appropriate termination, and provide referrals to other providers as needed.
• If a medical emergency occurs during sessions, I immediately respond by contacting local emergency services.
• I inform clients about the extent of my availability between sessions and back support. I provide clients with appropriate local resources to contact in the event of an emergency or during times that I am unavailable.
• I provide thorough post-session integration.
• I adhere to the laws and requirements regarding storage and security of Kambô medicines.
• All medicine is to be acquired from a sustainable and reputable source.This includes Kambo medicine, Rapé, Sananga, Mapachos, Sangre De Grado, Agua De Florida and smudging substances.
• Before administering medicine from a new/unused Kambô stick, I will self-dose with said new/unused stick of medicine.

I respect the privacy of clients and uphold professional standards of confidentiality.

• I do not reveal information about clients without their express permission, except when mandated.
• I stay informed about confidentiality clients and adhere to all applicable privacy laws and regulations.
• I obtain permission from clients before sharing their identifying information in consultation or supervision.
• When I am required to release information about clients, I follow all pertinent laws and regulations and provide the minimum amount of information necessary. I inform clients about the release of their information when possible and permissible.
• I make agreements with clients about acceptable and preferred means of communication, such as leaving voicemails, sending text messages, hours of contact, and response time.
• I securely store treatment records and possible session recordings. I promptly respond to breaches in confidentiality.
• I seek legal counsel as needed to maintain client confidentiality.

I respect each client’s right to make informed choices.

• I include clients in decisions about their treatment.
• I obtain informed consent before initiating a treatment.
• I honor each client’s option to withhold or withdraw consent at any time, with the condition to immediately end the treatment.
• I accurately represent my background and training using appropriate terms according to applicable laws and professional code.
• I identify when I am unable to provide clinically appropriate care and inform clients that we must discontinue treatment and refer them to other providers.
• I inform clients of all treatment procedures, including an accurate description of medicines used, potential risks and benefits, and alternative treatment options.
• I inform clients of treatment fees and the process for collecting payment before delivering a billable service.
• I keep the option to interrupt the treatment at any time if I estimate to be required.
• I obtain informed consent for any kind of physical touch that might be included in treatment. I inform clients that there may be times I need to make physical contact in order to ensure their safety, such as when taking their vitals, walking them to the restroom, or preventing a fall. Aside from preventing immediate danger, all physical touch is for therapeutic purposes and is optional; the clients can revoke their consent for touch at any time.
• I inform clients in advance about the possible or scheduled presence of assistants, providers, observers, or any other staff who may be a part of treatment or have access to patientidentifying information. I respect the client’s right to object to the presence of others who are not essential for treatment.
• I inform clients and all persons who will be present of any audio or video recording; I describe the purpose of recording and how recordings will be stored and used. I obtain consent from all persons present prior to recording sessions. I obtain explicit permission, outlining the specific use, authorized recipient(s), and terms of release, from the client and all identifiable persons before releasing audio or video recordings.

I act in accordance with the trust placed in me by clients.

• I aspire to create and maintain therapeutic alliance built on trust, safety, and clear agreements, so that clients can engage in inner exploration and relational healing.
• I respect the inner healing intelligence of clients to guide their experience.
• I respect the autonomy of each client to make decisions in their life and make meaning of their experiences.
• I acknowledge that the healing process is deeply personal, and each client has unique needs for treatment and support.
• I prioritize the clients’ therapeutic needs and treatment goals.
• I treat people receiving services or reaching out for services with respect, compassion and humility.
• I firmly maintain the responsibility of upholding clear professional boundaries.
• I acknowledge the inherent power differential between therapy providers and clients and act conscientiously in the service of clients’ self- empowerment.
• I examine my own countertransference and unconscious biases.
• At no time I will emotionally or psychologically abuse a client. Harassment, slanderous or discriminatory speech, intimidation and physical violence, including assault, battery, and displays of threatening behavior.
• I avoid entering into dual relationships that are likely to lead to impaired professional judgment or exploitation. In cases where there is a dual relationship, I give special attention to issues of confidentiality, trust, communication, and boundaries, and seek supervision as needed.
• I use careful judgment about continuing interaction with existing or previous clients outside of treatment.
• When working with participants in a research study, I strive to deliver therapeutic benefit while following scientific protocol.
• A liability release form must be filled out prior to the ceremony, each and every time. No matter if the client has done a previous ceremony or not. I must be able to show proof of the signed liability release for the duration of at least 1 year.

When using touch in my practice, I always obtain consent and offer touch only for therapeutic purposes.

• I only offer techniques, such as touch, if they are within my scope of practice and competence.
• When touch is part of my practice, I discuss consent for touch during intake, detailing the purpose of therapeutic touch, how and when touch might be used and where on the body, the potential risks and benefits of therapeutic touch.
• I obtain consent for touch prior to the client receiving medicine. Aside from protecting a person’s body from imminent harm, such as catching them from falling, the use of touch is always optional, according to the consent of the client.
• I discuss in advance simple and specific words and gestures the client is willing to use to communicate about touch during Kambô treatment sessions. For example, clients may use the word “stop” or a hand gesture indicating stop, and touch will stop.
• I practice discernment with touch, using clinical judgment and assessing my own motivation when considering if touching a client is appropriate.

I do not engage in sexual touch with clients.

• I take responsibility for upholding clear professional boundaries.
• I do not engage in sexual intercourse, sexual touch, or sexual intimacy with a client, former participant, their spouse or partner, or their immediate family member, at any point during treatment or following termination.
• I commit to examining my own sexual countertransference, to not act in ways that create ambiguity or confusion about sexual boundaries, and to seek supervision as needed.
• I respect the sexual identities and expression of clients and validate clients’ processes that might relate to sexuality and sexual healing.
• Inappropriate or revealing clothing on my behalf or behalf of the client, will be not tolerated.

I respect the value of diversity, as it is expressed in the various backgrounds, identities, and experiences of clients and colleagues.

• I do not condone or knowingly engage in discrimination. I do not refuse professional service to anyone on the basis of origin, gender, gender identity, gender expression, religion, national origin, age, disability or socioeconomic status.
• I take steps to examine my unconscious biases. I commit to ongoing self-reflection and to practice awareness, acceptance, and respect.
• I make every reasonable effort to include people living with physical, mental, and cognitive disabilities.
• I respect the unique experiences of clients, and practice openness towards their values, belief systems, and ways of healing.
• I am attentive to the impact of power dynamics in my relationship with clients, particularly where there are differences in privilege, gender, origin, age, culture, education, and/or socioeconomic status.
• I strive to be honest with myself and clients about the limits of our understanding, and to hold genuine curiosity and interest as we relate to clients’ experiences.
• I aim to provide culturally-informed care with consideration of clients’ origin, identity, values, belief systems, and traditions.
• I commit to deepening my cultural understanding. I educate myself on various cultures, identities, values, belief systems, and traditions. I inform myself on social, political, and economic issues that are likely to impact participants.

I attend to special considerations when working therapeutically with clients in potential non-ordinary states of consciousness.

• Clients in non-ordinary states of consciousness may be especially open to suggestion, manipulation, and exploitation; therefore, I acknowledge the need for increased attention to safety, sexual boundaries, and consent.
• I do not engage in coercive practices or behaviors.
• In working with non-ordinary states that can evoke unconscious material for both the client and therapy provider, I acknowledge the potential for stronger and more complex transference and countertransference. Therefore, I practice self-awareness and self-examination and seek supervision and guidance as needed.
• I approach clients’ experiences with respect, curiosity and openness. I suspend my own beliefs and opinions and cultivate an expanded perspective that embraces extraordinary states.

I maintain clear communication with the client about pricing.

• I communicate my fees and payment procedures before any treatment.
• I do not initiate or continue treatment solely for financial gain; I only provide treatment when I believe my services have therapeutic value for the client.
• I do not accept compensation or gifts for referrals.
• I establish and maintain clear and honest business practices.

I practice within my scope of competence, training, and experience specific to the populations I am working with and the modalities I offer.

• I represent my work and qualifications honestly and accurately.
• I assess at intake whether a potential client’s needs can be addressed within my scope of competence and, if not, make informed referrals to other providers and services.
• I commit to ongoing professional development, seeking supervision and continuing education to further my therapeutic skills and presence.
• I maintain licensure(s) and certification(s) in good standing, including re-certification as required.

I establish and maintain compassionate and positive working relationships with colleagues, in a spirit of mutual respect and collaboration.

• To maintain the highest integrity in my practice, I consult with fellow practitioners and mentors. I commit to asking for feedback and being open to receiving it, as well as offering feedback when it may be needed.
• If I face ethical decisions or questions about my practice that are not sufficiently addressed in the guidelines of this Code, I will seek consultation from colleagues or a supervisor.
• I represent the modality of Kambo treatment with professionalism and accuracy when communicating with the public, including through the media, social media, and presentations.

I commit to ongoing personal and professional self-reflection regarding ethics and integrity.

• I commit to an ongoing practice of self-compassion and self-inquiry.
• I seek professional assistance and community support for my own emotional challenges or personal conflicts, especially when they affect my capacity to provide ethical care to clients.
• I subscribe to the value of humility, out of respect for the transformative power of the experiences I have the privilege to witness and support, and out of respect for human dignity.
• I am committed to upholding the Matsés tradition which has been officially transmitted to me.
• Mapacho must be used without any exception. A treatment cannot be performed without a proper Mapacho ceremony. If a client object to this, I can’t provide him with the Kambô treatment.
• I will abide by the same Kambô diet/fasting as my clients, and must not eat in the total lapse of time.
• Kambô medicine will only be administered the following parts of the body; forearms, shoulders, ankle area.
• As a practitioner with integrity, medicine is only to be sourced from a reputable source who harvests the medicine sustainably.