Breathwork Intake Form

Contraindications

Breathwork is not advised for individuals with:

    •    Heart conditions of any kind

    •    History of seizures or epilepsy

    •    Pregnancy

    •    Severe psychiatric conditions (including schizophrenia, bipolar disorder, or psychosis)

    •    High or uncontrolled blood pressure

    •    Recent major surgery or physical injury

If any of these apply, please consult with your physician before engaging in breathwork practices.