The document describes the opening and closing ceremonies for a Medical Dharma Circle gathering. It includes dedications to Buddha, Dharma, and Sangha; taking refuge in the Three Jewels; recitations of the Five Precepts and other Buddhist texts; acknowledgment of faults; transferring of merit; and blessings for happiness and protection. The purpose is to provide a spiritual fellowship for observance of Buddhist teachings and the development of wisdom and enlightenment.