9D Fusion Breathwork Informed Consent & Release:
9D Fusion Breathwork prioritizes the safety and well-being of all our participants, and as part of our commitment to ensuring a secure environment, we require the completion of this Liability Waiver Form. Breathwork is deemed safe by the medical community, and adverse reactions are very rare. Breathwork techniques will be modified for anyone that may fall into any of the below categories, but if you are unsure if you are fit to practice please consult both your physician and the breathwork session instructor before participating.
A breathwork session may not be suitable for you if you have the following conditions:
1.Cardiovascular problems,
2. Abnormally high blood pressure,
3. Aneurysms,
4. Epilepsy or history of seizures,
5. Anyone taking heavy medications,
6. Severe psychiatric symptoms especially psychosis or paranoia,
7. Bipolar disorder
8. Osteoporosis,
9. Recent surgery,
10. Glaucoma,
11. Currently pregnant.
Individuals with asthma should bring their own inhaler if they plan on practicing breathwork.
We also recommend that anyone experiencing an emotional or spiritual crisis, or those with mental health conditions who are not currently in treatment or lack sufficient support, refrain from attending.
Please note that this list is not comprehensive. If you have any concerns about a condition not mentioned here, we advise you to consult with your healthcare provider prior to participating in the breathwork sessions.
I warrant and represent that I am in good health physically, mentally, psychologically and emotionally, and I understand and warrant that if I am not in good health, I should not perform these activities or breathwork sessions. Accordingly, the declaration and certification that I am in good health in all the above-mentioned respects constitutes a material agreement to allow me to participate in the breathing sessions. By participating in sessions, I acknowledge and accept full responsibility for my well-being during and after the session.
I know and acknowledge that the person facilitating is not a doctor or psychiatrist, or a specialist in health care, and that the activities offered are not intended to treat and diagnose specific medical conditions, whether physical, psychological or emotional. I voluntarily participate in these activities knowing the risks and consequences and agree to
assume all consequences, known or not.
I release 9D Verified Facilitator: Stephanie Girardi from all responsibilities, costs and damages that may arise from participating in the above-mentioned activity. I agree to accept financial responsibility for costs related to treatment. By checking the box on the previous webpage, I acknowledge that I have read the above warning and agree to proceed with full responsibility and understand that I have waived certain rights, and I have agreed to this release of liability freely and voluntarily without any external influence.