I declare that I am not recognizing myself in any of these contraindications below:

​

• Pregnancy

• Epilepsy

• Detached retina

• Glaucoma

• Uncontrolled high blood pressure

• Cardiovascular Diseases (including prior heart attack)

• Mental disorders (manic disorder, bipolar disorder, schizophrenia, obsessive compulsive disorder (OCD), paranoia, psychotic episodes, depersonalization, etc.)

• Strokes, TIA ́s, seizures or other brain/neurological conditions

• A history of aneurysms in your immediate family

• Use of prescription blood thinners

• Hospitalized for any psychiatric condition or emotional crisis within the past 10 years

• Osteoporosis or physical injuries that are not fully healed

• Acute somatic and viral diseases

• Chronic obstructive pulmonary disease (COPD-II and COPD-III)

• Chronic diseases with symptoms of decompensation or terminal illness

• Individual intolerance of oxygen insufficiency

• Cancer, unless IHT is prescribed by a doctor

• Low Impulse Control

• Fasting for more than 12 hours

​

I understand that if any of these above mentioned issues are applicable to me, I am obliged to inform the facilitator about this. If I choose to participate without the facilitator knowing these conditions, the participation will be at my own risk and I am responsible for the consequences resulting from this session.

​

I understand that I am fully responsible for my own health (emotional and physical) and I am in a good condition when entering the Breathwork session. I am participating at my own risk at all times.
 
I understand that I have to be clean of alcohol and substances for at least 24 hours prior to the Breathwork session. It is my own risk to participate in the session whilst I have taken alcohol or (prescription) drugs.
 
I understand that Breathwork is an alternative healing modality and should never be used as a substitute for direct medical treatment. Everyone attending a Breathwork ceremony is responsible for seeking medical advice, should they need medical help.

I understand that by accessing a Breathwork session I can experience an altered state of consciousness and I can be confronted with past pain and trauma that has been suppressed, avoided or forgotten. Breathwork is a powerful tool to heal these deep rooted (emotional) pains. However there is never given any guarantee, a warranty or a or a prediction that I will be able to access this awareness during the session(s).
 
I hereby declare that I am healthy and fully able to participate in a Breathwork ceremony.