Medical Waiver and Release

Breathwork is a powerful healing modality and although usually a deeply relaxing and enjoyable process, it can result in certain specific physiological changes in the body.
As a precaution, the following conditions are contraindicated, and it is crucial that you inform your breathwork practitioner before the session if any of the following conditions are relevant to you: -

  • Pregnancy first trimester
  • Detached retina or glaucoma
  • High blood pressure (not controlled with medication)
  • Cardiovascular disease including angina, previous heart attack or stroke
  • Diagnosis of aneurysm in the brain or abdomen
  • Uncontrolled thyroid conditions and diabetes
  • Asthma – you may wish to bring your inhaler to the session
  • Epilepsy
  • Prior diagnosis of bipolar disorder, schizophrenia, or previous psychiatric condition
  • Hospitalisation for any psychiatric condition or emotional crisis within the last 10 years
  • Any other medical, psychiatric, or physical conditions which would impair or affect ability t to engage in any activities that involve intense physical and/or emotional release.

By undertaking a 1:1 or group session with Hayley Barker-Smith you accept the following waver:
‘I understand that if I must advise Hayley Barker-Smith if I am taking any medications or have any medical conditions such as, but not being limited to those contraindicated above, that I certify that I have consulted a health professional regarding any physical, mental, or emotional condition that could interfere with my judgment or affect my health in any way during or after any and all session(s).

I understand and acknowledge that I am responsible for consulting my health care provider or doctor in case I have or suspect to be suffering from a health problem. I understand and acknowledge that I am fully responsible for any and all risks, injuries, or damages, known or unknown, which might occur as a result of my participation and hereby waive and release Hayley Barker-Smith from any claim, demand, cause of action of any kind resulting from or related to my participation in any programme or sessions. It is with this understanding that I voluntarily accept this waiver.

Hayley Barker-Smith
MBAP, BA (Hons), DIPHe

Hayley Barker-Smith Psychotherapy & Breathwork
Mind/Body Connection . Breathwork . Healing .

t: 07903 410027
e: info@hayleybarkersmith.co.uk