Release and Waiver

CO4CH GmbH

I understand and acknowledge that the discussions, consultations and breathwork session(s) I have with Dr Heidi Kharbhih, student of One Breath Institute:


a) are not intended to replace any relationship I have with my medical doctor and/or primary health care provider(s);

b) are not intended to constitute medical advice or any substitution for medical care;

c) are not intended to be relied on for prescriptions, recommendations, diagnosis or treatment in relation to any health problem or disease;

  • I understand that an in-person breathwork session may include physical touch designed to support me in my journey, and that I have the right to refuse touch--and--request the facilitator to refrain from touch by using the word ‘stop’ at any time.

  • I understand that if I have any medical conditions such as, but not limited to, schizophrenia, bi-polar disorder, epilepsy, heart conditions, glaucoma, uncontrolled thyroid problems, or if I am pregnant, that I must advise the facilitator. The facilitator reserves the right to decline offering the breathwork session due to the aforementioned (or other) possible contraindications.

  • I understand and acknowledge that I am responsible for consulting my primary health care provider or a medical doctor in the event that I have or am suspect to have a health problem.

  • I understand the importance of notifying the facilitator if I am on prescription medication, which may have an effect on my cognition. I hereby certify that I have not taken any substances which may impair my judgment or cause a possibly detrimental physiological reaction.

I am encouraged by Dr Heidi Kharbhih, CO4CH GmbH to make my health care decisions in partnership with my medical doctor and/or primary health care provider(s) on the basis of my own research regarding the effectiveness of breathwork sessions. I understand and acknowledge that, in undertaking a breathwork session with Dr Heidi Kharbhih, CO4CH GmbH, I may do so at my own risk.

I, acting on behalf of myself, my heirs and my assigns, hereby release my Facilitator, Dr Heidi Kharbhih, CO4CH GmbH, and representatives thereof from any actions, causes of action, complaints, claims, damages, costs and expenses of any kind with respect to or arising out of any of the discussions, consultations and/or breathwork session(s) I have had or may have in the future.