Medical Form

Important: Please Complete Your Health Information Form To ensure a safe and supportive environment for everyone, all participants of a Holotropic Breathwork workshop are required to provide information about their current health status. This information is necessary to identify any potential contraindications and to determine the best form of support that may be needed during the workshop. Holotropic Breathwork is intended as a personal growth experience and should not be considered a substitute for psychotherapy. Please be aware that this practice can involve intense experiences, including strong emotional and physical releases. For this reason, the workshop is not suitable for pregnant women, or individuals with cardiovascular problems, severe hypertension, severe mental illness, recent surgery or fractures, acute infectious diseases, or epilepsy. If you are unsure whether participation is suitable for you, we encourage you to consult with your physician or therapist, as well as the facilitators, before proceeding. Your responses will be kept strictly confidential and will only be accessible to the facilitator team. After the workshop, all health information will be securely destroyed. Please fill out the health information form as completely as possible. If you answer "yes" to any of the questions, please provide additional details in the respective field (e.g., if you are undergoing medical treatment, taking medication, or have received specific recommendations from your doctor). Thank you for your cooperation in creating a safe and supportive environment for all participants. If you have any questions or concerns, please do not hesitate to reach out to us at holotropia@pm.me. Warm regards, Your GTT Facilitator Team