Health Waiver

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,
  • or recent major surgery

that I must advise the facilitator 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 do with Divine Roots.

Divine Roots 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 and signed the below confirmation that I take full responsibility for my own health and wellbeing.

Health Waiver
First
Last
Confirmation