Emotional Release Breathwork Intake and Disclaimer
A Legal Disclaimer
Please read the following carefully.
General Health Considerations You cannot participate in Emotional Release Breathwork if you have any of the following:
• Uncontrolled high blood pressure
• A history of aneurysm
• A recent head injury or concussion
• Are recovering from any recent surgery, including dental procedures that are still healing
• Are currently being treated for a severe psychological or psychiatric condition
• Are currently taking medications that significantly affect mood, perception, or emotional regulation
Disclaimer and Consent
Emotional Release Breathwork is a guided practice that involves conscious connected breathing, heightened body awareness, and emotional release. While many people find this work beneficial, it can bring forward intense physical or emotional experiences. By signing below, you acknowledge that you have a safe and supportive person in your life who is accessible to you should anything arise following your breathwork experience.