This form is so that you understand Breathwork is intended as a personal growth experience and should not be looked upon as a substitute for psychotherapy. Breathwork can involve dramatic experiences accompanied by strong emotional and physical release therefore this work is not appropriate for pregnant women, persons with cardiovascular problems, glaucoma, severe uncontrolled hypertension, a diagnosis of bipolar, schizophrenia or severe psychosis, recent surgery or fractures, acute infectious illness, or epilepsy (exceptions when we have a mutual signed agreement)

Although Heal2Flow makes every effort to ensure that environment at the venue is safe for all, Heal2Flow, it's directors and it's volunteers will not accept any responsibility for any injuries to the participant or for any expenses or damages incurred directly or indirectly resulting from the breathwork session.

By signing this agreement you understand and acknowledge that you are responsible for my own physical well-being and any damages and financial costs that may incur from my actions or behaviours and will not hold any other party accountable and hereby confirm that I have read and understood the above information and have not withheld any information that would compromise my safety, or any other person involved in this session. My general health, as far as I am aware, is good.

Any personal identifiable information received is kept confidential. Personal information collected is stored in a secure location and safely destroyed after it is no longer legally required.