Medical Form

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If you have answered “Yes” to one or more of the above questions, you must consult your physician before engaging in breathwork. Tell your physician which questions you answered “Yes” to. After a medical evaluation, seek advice from your physician on what type of activity is suitable for your current condition.

By signing here, you attest to the truthfulness of your statements and answers. We reserve the right to determine eligibility for engagement and participation in our programs based upon the answers given.

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