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Breathwork Waiver

Please fill out the following consent form prior to participating in a breathwork session with Krista:

I understand that if I am taking any medications or have any medical conditions such as, but not limited to:

Schizophrenia, bipolar disorder or psychosis, epilepsy, heart conditions, COPD, delicate pregnancy, high/very low blood pressure with fainting history, PTSD, pre existing lung conditions, or recent major surgery, that I must advise the facilitator, Krista Hurley, before the session.

 

I also understand that even though I have been accepted as a participant, I am responsible for any consequence resulting from any breathwork session that I experience with Krista Hurley.

 

Krista Hurley is not a substitute for consulting your doctor or medical care provider. In the event of known medical conditions, I certify that I have consulted a health professional regarding any condition ( physical, mental or emotional) that could interfere with my judgment, or affect my health in any way during or after the session.

 

In-person sessions only – I am aware that appropriate touch may be used for the purpose of supporting my wellbeing and comfort.

 

I have read this waiver, agree to the terms as I'll indicate below and confirmation that I take full responsibility for my own health and wellbeing.

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