Diana Davis Hypnotherapy ~ Liability Waiver for Participant Safety and Well-being

Health Conditions Requiring Caution:

  • Cardiovascular issues

  • Elevated blood pressure

  • Aneurysms

  • History of epilepsy or seizures

  • Heavy medication use

  • Severe psychiatric symptoms, including psychosis, paranoia, or bipolar disorder

  • Osteoporosis

  • Recent surgeries

  • Glaucoma

  • Pregnancy

  • History of anaphylaxis

  • Asthma (participants should bring inhalers and consult their physician and the session instructor beforehand)

  • Emotional or spiritual crises, or untreated mental health disorders without adequate support

This list is not exhaustive; if you have any health concerns not mentioned here, please consult a physician before participating. If any of the conditions above apply to you, contact me at 727.386.8613 before signing up.

Participant Health Declaration:   I affirm that I am in good physical, mental, psychological, and emotional health to participate in breathwork sessions. If I am not in good health, I understand that I will not be allowed to participate.

The facilitator of breathwork is not a medical doctor, psychiatrist, or healthcare specialist, and the activities are not intended to diagnose or treat medical conditions.

Session Participation Agreement:   I confirm that I will not attend the session under the influence of any substances.

I voluntarily participate, understanding the risks involved, and I agree to assume all consequences, whether known or unknown.

I release the facilitator, Diana Davis, from all liability, costs, and damages that may arise from participation. I accept financial responsibility for any treatment costs incurred.

By adding my name below, I confirm that I have read and understood this waiver, and I agree to proceed with full responsibility. I acknowledge that by signing this form, I waive certain rights voluntarily and without any external pressure. Submitting my name and the date below serves as my esignature.