• Breathwork and Somatic Liability Waiver Form

    Eden Neves
  • Somatic therapy uses the body to guide the process of personal transformation. I understand that Somatic therapy and Breathwork includes release of emotions, sound, movement, breathing in a non-regular manner and physical touch by the facilitator.
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  • Emergency Contact

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  • Medical History

  • Breathwork is not recommended and is not safe under certain medical conditions. I will make the facilitator aware of any medications I am currently on, medical conditions or physical limitations before the session.
  • Your permission will always be asked for before any physical contact occurs. It is my responsibility to refuse touch if it does not feel comfortable, or to ask that touch be terminated if it becomes uncomfortable. If I feel I have an injury present that may put myself or others at risk I will let the facilitator know before participating in any activities. I assume full responsibility for any and all injuries or damages which may incur through participating any activities.
  • Your signature below indicates that you have read and understand this contraindications form and the information you have provided is truthful. I hereby agree to release and waive any claims that I have now or may have hereafter against my facilitator and support team.
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