Informed Consent for The Connected Practice
This consent form is provided to help you understand what to expect from Breathwork with Brenda, and to outline your rights and responsibilities as a participant. Breathwork, which may be called a variety of names is a unique integration of gentle diaphragmatic breathwork, Reiki touch, and sound healing (tuning forks on the body, drumming, and soundscapes.)
Benefits and Risks
Engaging in these practices can promote deep relaxation, alleviate stress and enhance overall well-being. However, as with all holistic modalities, there are potential risks, including emotional release or temporary discomfort. Please remember that these services are not intended to replace medical treatment.
Client Responsibilities
As a client, you are responsible for:
1. Providing accurate and complete health information regarding any acute illnesses. Contraindications for breathwork are severe heart issues, mental health issues, uncontrolled and escalating anxiety attacks, severe cardiovascular problems, severe hypertension, pregnancy, glaucoma, epilepsy, recent surgery, severe asthma, fever, drug or alcohol intoxication.
2. Informing the facilitator of any medical conditions or concerns
3. Following all instructions and guidelines given during the sessions.
Release of Liability
By signing this form, you acknowledge your understanding of Breathwork and agree to release Soundings and its practitioners (Brenda Colfer) from any liability related to the services provided.
Acknowledgement and Consent
I, ______________________________________________________________________ confirm that I have read, understood, and accept the terms stated above. I willingly consent to participate in Breathwork classes with Brenda Colfer, both now and in the future.
Signature_________________________________________________________________________________
Date______________________________________________________________________