Booking Form

  • Please provide address for the delivery of your home detox box, if you are joining a home detox retreat. If not, just simply provide your home address.
  • Please note that Platinum Healing is NOT a medical or a mental health facility. If ANY of the following apply to you, please DO NOT complete this form and contact us by phone. Pregnant or Nursing Mother, Insulin Dependent Diabetes, Peptic Ulsers, Cardiac Arrhythmia, Tuberculosis, Advanced Heart Disease, receiving any form of Psychiatric Care, Severe Mental Illness, Alcoholism, Drug Abuse or Addiction, Anorexia or extremely underweight. If you are under the care of a medical practitioner please supply us with a written approval to undertake any of our juice detox programs.
  • Our juice partner is NOT able to supply juices for anyone with nut or other allergies that result in anaphylactic shock. They produce nut milks and use celery in their juices.
  • Please note that ALL retreat programs run simultaneously together and the only difference is the one to one treatments that are included in each package.
  • PLEASE NOTE: All bookings are subject to availability and only confirmed once we have approved your booking form and full payment for the retreat has been received.
  • Names and relationship to the people I am coming to the retreat with (if applicable). PLEASE NOTE: All individuals joining you MUST complete a separate booking form. We cannot accept a joint booking form.
  • Occupancy is subject to availability.
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  • If you are driving to us.
  • Please type your full name below. By contacting us and booking a retreat I have already agreed to the terms and conditions and understand the cancellation policy.
  • MM slash DD slash YYYY