Medilution Wellness Retreat Application Form

Progress

I declare that the information provided in this application is true and correct to the best of my knowledge. I understand that admission to Medilution Wellness Retreat is subject to a clinical assessment by qualified professionals. I hereby consent to undergo any necessary medical, psychological, and therapeutic evaluations required to determine my suitability for the program. I also acknowledge that all personal and medical information will be kept confidential in accordance with applicable privacy laws and ethical standards. By signing below, I agree to abide by the rules, regulations, and guidelines of Medilution Wellness Retreat and understand that failure to comply may affect my participation in the program.
Inquire for more

Medilution Wellness Retreat Application Form

  • Confidential, stigma-free support for educators
  • Culturally rooted, nature-based healing
  • Evidence-backed programs designed by medical professionals
  • Located in the serene Indoni Eco Village in KwaZulu-Natal

RSVP Form

We look forward to hosting you for an evening of insight, collaboration, and connection. Please confirm your attendance below.

Progress

Progress

I declare that the information provided in this application is true and correct to the best of my knowledge. I understand that admission to Medilution Wellness Retreat is subject to a clinical assessment by qualified professionals. I hereby consent to undergo any necessary medical, psychological, and therapeutic evaluations required to determine my suitability for the program. I also acknowledge that all personal and medical information will be kept confidential in accordance with applicable privacy laws and ethical standards. By signing below, I agree to abide by the rules, regulations, and guidelines of Medilution Wellness Retreat and understand that failure to comply may affect my participation in the program.