Medical Questionnaire

Thank you for your interest in staying at Caya Shobo.  We are excited to be receiving you soon.  In order to confirm your registration we need to review your medical situation.  Please take a few moments to fill in the following questionnaire.  (Click on ‘Register Now’ button above.)

Please note that some applicants may be subject to preliminary psychological evaluation before registration can be confirmed. More serious healing cases may require a unique treatment and support plan or in some cases may not be able to be treated at Caya Shobo.