Consent Form

Breathe Receive Co. Participation Agreement

If you have any doubts or concerns about participating, please consult your primary care physician first.

For safety reasons, individuals with the following conditions are NOT permitted to participate:

Medical Contraindications:

  • Aneurysms

  • Severe Asthma (If your asthma is not severe, please have your inhaler available during your session)

  • Cardiovascular disease and/or irregularities, including prior heart attack

  • Detached Retina

  • Epilepsy

  • Glaucoma

  • High Blood Pressure that is not controlled with medication

  • History of strokes or seizures

  • Severe Osteoporosis

  • Pregnancy

  • Use of prescription blood thinning or anti-clotting medications (e.g., Coumadin)

Psychiatric Contraindications:

  • Bipolar disorder or schizophrenia (diagnosed by a health professional)

  • Hospitalization for any psychiatric condition or emotional crisis in the past 10 years (e.g., attempted suicide or nervous breakdown)

  • PTSD (please consult with your therapist prior to participating)

  • Any other medical, psychiatric, or physical conditions that could impair or affect your ability to engage in activities involving intense physical and/or emotional release

🧘‍♀️ Conscious Breathwork

Purpose:
Conscious Breathwork is a personal growth experience and should not be regarded as a substitute for psychotherapy or medical treatment. Breathwork can cause specific physiological changes and may lead to intense physical and emotional release.

Potential Effects:
Breathwork can induce specific physiological changes and may lead to intense physical and emotional release.

✨ Reiki Energy Healing

Overview:
Reiki is a gentle yet powerful energy healing practice that restores balance, reduces stress, and promotes relaxation. It is rooted in ancient Japanese traditions and supports the body's natural healing process.

Session Details:
During a session, light touch (with your permission) or hands just above the body are used to help direct energy where it's needed most. Reiki is safe for everyone and integrates well with other holistic practices.

🧠 EVOX Perception Reframing

Overview:
ZYTO EVOX technology helps reframe perception by analyzing your voice and mapping your mindset around key life areas. It uses targeted frequencies to clear energetic blocks, release emotions, and shift subconscious beliefs.

Process:

  • Voice Mapping: Records voice energy as you speak about a topic.

  • Perception Index: Creates a visual of your current mindset.

  • Reframing: Uses guided meditation and frequency feedback to shift perception.

Benefits:
EVOX can assist with emotional balance, health and wellness, relationship improvements, breaking patterns, and enhancing performance and growth.