Malibu Medical Group - Patient Conduct & Billing Policy

Deposit & Transportation

It is the policy of Casa Santa Isabel that Deposits are non-refundable. Deposits are used to reserve rooms and secure availability for the dates requested.

A patient's scheduled arrival date may be changed once, provided the clinic is notified at least seven (7) days in advance of the originally scheduled arrival. Additional changes, or any changes made within seven days of the scheduled arrival date, will incur a change fee of $500 USD per change, and may result in the loss of any previously agreed-upon discounts.

The Admissions Staff will provide directions to the clinic and offer recommendations for chauffeur services from San Diego and nearby airports. However, each patient is responsible for selecting a method of transportation and ensuring timely and safe arrival. Chauffeur or ride services are not affiliated with Casa Santa Isabel, and any agreements—such as payment terms and service fees—are solely between the patient and the chosen provider.

Patients are responsible for complying with all entry and exit requirements based on their nationality. Please note that vaping devices of any kind are prohibited in Mexico; therefore, their use is also prohibited at the clinic. Additionally, crossing international borders with any illicit substances (including THC) or carrying prescription medication without a valid prescription is strictly prohibited and may result in severe penalties, including fines, detention, and/or arrest. Patients are solely responsible for ensuring that any medications they travel with comply with the laws and regulations of both their country of departure and destination.

For scheduling purposes, a “day” is defined as any portion of a day spent at the clinic. Therefore, a 7-day program includes both the day of arrival and the day of departure, totaling 6 nights. For example, a 7-day program beginning on the 1st would conclude with departure on the 7th. The same structure applies to longer programs—for instance, a 10-day program would run from arrival on the 1st through departure on the 10th. This approach ensures consistency across all program durations.

Balance Payments

Balance payments are due on or before arrival and may be made by Visa, MasterCard, cash, or wire transfer. 

Please note that our online card processing is limited to deposits only. For balance payments by card, the cardholder must be physically present. If the cardholder will not be present at the time of payment, the only accepted alternatives are wire transfer or cash.

• Wire transfers must be initiated at least three (3) business days prior to arrival to ensure timely processing.
• Cash payments should be entrusted to the patient to bring with them and submit upon arrival.

Note: After completing the deposit, please notify our Billing Department by email at billing@casasantaisabel.com and indicate how you plan to pay the balance. They will update the patient file and provide any additional details needed, such as transfer instructions.

Substances Included in Our Arrival Screening

Our standard arrival drug screening includes the following substances:

Amphetamines, Barbiturates, Buprenorphine, Benzodiazepines, Cocaine, Alcohol, Fentanyl, Synthetic Marijuana (K2), Ketamine, Kratom, Lysergic Acid Diethylamide (LSD), 6-Monoacetylmorphine (Heroin), Ecstasy (MDMA), Methylphenidate, Methamphetamine, Methadone, Morphine/Opiates, Oxycodone, Phencyclidine (PCP), Flakka (Alpha-PVP), Psilocybin (Mushrooms), Tricyclic Antidepressants, Cannabinoids (Marijuana), Tianeptine (an atypical tricyclic antidepressant), Tramadol, and Xylazine (a muscle relaxant).

Important Information Regarding Detection & Treatment

If a screening detects substances not included in the original quote, the patient will be required to enroll in a program tailored to their specific needs. A positive result for certain substances may necessitate a detoxification or transition period prior to beginning treatment, which may increase both the cost and duration of the stay.

Some substances may require a detox period lasting several weeks. It is essential that all relevant substance use is disclosed to the medical team prior to arrival. This information allows for a more accurate estimate of the overall cost and length of treatment.

Upon arrival, the patient will have the option to either:

1. Proceed with an additional program, if deemed necessary by the clinical team, or

2. Be discharged and issued a credit to return once the unreported substance has cleared.

Refunds & Credits

If a patient is discharged due to preliminary exam results, a full refund minus Deposit
will be issued with the following exceptions; If the results are postponed due to patient
refusal or inability to test, a $1,000 USD per day charge will be deducted for every day
after 12PM from the day of admission in addition to the initial Deposit charge. Please
note that certain payment methods, products, or services may be non-refundable and
may instead be issued as an in-house credit. For applicable exceptions or questions,
please contact billing@casasantaisabel.com

NO REFUND or CREDIT will be issued if patient is asked to leave for violating our
patient conduct guidelines, responsibilities or rules.

NO REFUND or CREDIT will be issued if patient voluntarily declines treatment at anytime during their stay.

Patient Responsibilities

1. The patient is responsible for providing accurate and complete information regarding past illnesses, hospitalizations, medications, and other health-related matters.
2. The patient is responsible for informing treatment providers and caregivers if they anticipate any difficulty in following the prescribed treatment plan.
3. The patient agrees to take responsibility for requesting additional information or clarification regarding their health status or treatment whenever they do not fully understand the information or instructions provided.
4. The patient agrees to be monitored by video and audio during treatment until cleared by the attending physician.
5. The patient also agrees to have vital signs electronically monitored whenever medication is administered, until cleared by the attending physician.
6. Medication may be provided to reduce cravings and maintain comfort prior to the start of treatment; however, no medication will be administered in excess of the guidelines established by the attending physician.

Patient Conduct & Rules

At Casa Santa Isabel, the staff strives to make each patient’s stay as comfortable as possible. To ensure the safety and well-being of all patients, the following rules must be followed. Failure to adhere to these rules may result in dismissal from the clinic without a refund or credit. These guidelines are in place to protect both patients and staff and are not intended to hinder personal growth or enjoyment.

1. Casa Santa Isabel is a voluntary clinic. However, all patients must be accompanied by a staff member if leaving the facility for any period of time prior to the completion of their program. If a patient wishes to leave before the scheduled departure date, an early release form must be signed.
2. Patients are not permitted to enter the kitchen or refrigerator. If something is needed, patients should ask a nurse or caregiver to assist.To ensure medical safety, outside food and beverages are strictly prohibited during the stay. Ibogaine may interact adversely with certain foods, supplements, or ingredients, potentially compromising the effectiveness of treatment or increasing the risk of side effects. All meals are thoughtfully prepared to support detoxification, promote healing, and minimize complications.
3. Smoking is not permitted inside the clinic, temazcal, sauna, or spa. Smoking is allowed only in designated areas.
4. Electronic devices—including phones, laptops, tablets, and similar items—are not permitted unless expressly approved and supervised by an administrator. All devices will be securely stored for the duration of the stay. In emergencies or exceptional circumstances, temporary access to a device may be granted at the discretion of the administration.
5. Photos and/or recordings of any kind are strictly prohibited on the premises.
6. Quiet time begins at 8:00 PM and continues until sunrise. During this time, patients are asked to maintain low volume in rooms and common areas.
7. Sexual relations of any kind are strictly prohibited.
8. Patients are not permitted to enter employee areas or other patients’ rooms.
9. Patients may not enter the doctor’s office or the psychologist’s office without accompaniment.
10. Access behind the nursing station is strictly prohibited.
11. Patients may not leave the immediate vicinity of the clinic unless accompanied by a staff member. This includes, but is not limited to, walking to the upper or lower grounds or the driveway. Those wishing to walk or visit the beach must contact an administrator to arrange the activity.
12. Patients must not encourage others to engage in inappropriate or noncompliant behavior.
13. Patients are expected to bathe regularly and maintain appropriate hygiene standards.
14. Possession or use of outside drugs is grounds for immediate discharge without refund. Outside substances may result in dangerous interactions with treatment medications. Any such items brought to the clinic must be reported immediately and will be safely destroyed.
15. Possession of hidden weapons is also grounds for immediate discharge without refund. If a patient has brought any weapons, they must be reported and will be securely held until discharge.
16. Any verbal or physical abuse directed at staff or other patients will result in immediate discharge without refund.
17. Destruction of Casa Santa Isabel property will be charged to the patient's account. In such cases, the patient may also be discharged without credit.
18. Patients may not unplug or tamper with any device that does not belong to them.
19. Patients agree to depart on their originally scheduled departure date. Additional days will be billed at $1,000 per day (or partial day), unless an extended stay has been approved in advance by the administration.

This document may be used as evidence in any legal, financial, or public proceeding or arguments.