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Waiver and Release Form 

 

Breathwork is a low-risk and very safe modality.

 

A report from MAPS in 2013 documented the results of 11,000 people over 12 years who participated in intense breathwork sessions. In addition to the many benefits that were observed, zero adverse reactions, injuries or negative effects were reported.

 

However there are a few medical conditions (listed below) which are contraindications, so you are asked to please read and sign this waiver before participating in any Ishka breathwork sessions.

 

Please reach out if you have any of the medical conditions below or have any questions or concerns at all.

 

You must agree to and sign this waiver and release form in order to participate in Ishka Breathwork sessions.

 

  • I understand that conditions such as PTSD, panic attacks, schizophrenia, bipolar, epilepsy, heart conditions, extremes of blood pressure, aneurysm, recent abdominal surgery and delicate or early pregnancy can be contraindications to Breathwork 

 

  • I understand that if I am taking any strong medications or have any of the medical conditions listed above then I will inform Ishka before attending a session

 

  • I understand and acknowledge that in undertaking Breathwork practices I am doing so at my own risk

 

  • I understand that whilst every care is taken, the facilitator will not be liable for any damage or injury resulting from my practice

 

  • I understand and acknowledge that an Ishka Breathwork session is not intended to constitute medical advice or any substitution for medical care 

 

  • I understand and acknowledge that an Ishka Breathwork session is not intended to be relied on for recommendations, diagnosis or treatment in relation to any health problem or disease

 

  • I understand that I must keep all information discussed in the session confidential. This means not discussing the identity or identifying information or reactions of any other participant of a session with anyone outside of the session.

 

 

By signing you are agreeing to the above terms in relation to any and all Ishka Breathwork sessions you participate.

 

I voluntarily execute this waiver and release - waiving Ishka, any location and any collaborators and assistants of any liability.

Please complete and sign:

If you have any of the health conditions listed - please contact Ishka before the session to discuss.

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