Consent form for participation in a Breathwork session

By registering, I confirm:

 

1. Voluntary participation & personal responsibility

I confirm that I am participating voluntarily and take full responsibility for my physical and mental health during and after the session.

 

2. Health status & reasons for exclusion

I am in good physical and mental health and confirm that none of the following apply to me. If any of these apply, participation in breathwork sessions is not permitted unless medical or psychotherapeutic confirmation is provided:

• Pregnancy after the 3rd month

• Cardiovascular diseases

• Mental illness or ongoing trauma therapy

• Medication intake of psychotropic drugs / antidepressants

• Open or large, unhealed wounds

• Recent torso brain surgery

• Neurological diseases or epilepsy

• Problems with the heart or nervous system

 

I undertake to consult a doctor if in doubt and to inform Olivia Vogel in advance.

 

3. Risk assessment, possible responses

I am aware that breathwork can trigger physical, emotional, and mental reactions. These include, among other things, the following during the session:

 

Physical reactions:

• Cramped hands and fingers (tetany)

• Heat waves or cold waves

• dry mouth

• vibrating or trembling body

• tingling, pressure sensation, or deep muscle tension

• feeling of lightness or heaviness

• Heat development leading to a local or whole-body "fireworks display"

 

Emotional and mental reactions:

• strong emotions such as crying, anger, sadness or joy

• intensive release of inner tensions

• Memories or inner images

• altered states of perception

 

I understand that all these reactions can be part of the breathing process and do not necessarily indicate a medical emergency.

I agree that I can communicate at any time if I need a break or do not want to be touched.

 

4. Consent to assistive touching

Supportive touch may be used unless I object. I can communicate "stop" or "no" at any time. Olivia will ask for this in every breathwork session.

 

5. Not a substitute for medical or psychological treatment

I understand that breathwork does not replace medical, psychological or therapeutic services and does not promise a cure.

 

6. Liability & Responsibility of the Participant

I release the provider, to the extent legally permissible,
from any liability for health damage, insofar as this arises

• concealed or incorrect health information or

• Disregarding safety instructions can result.

 

7. Confirmation of the Terms and Conditions

I have read and accepted Olivia Vogel's terms and conditions .