Liability Waiver and Disclaimer
I, Alexandra Burkowsky, am a holistic health practitioner who provides holistic health services. My sessions, workshops, and programs are based on my holistic health training and psychiatric nursing experience and do not replace care by a licensed medical or mental health professional.
Somatic Movement Disclaimer
Somatic movement is an embodied practice aimed at increasing body awareness, releasing tension, and fostering emotional and physical well-being. It is an integral modality in my holistic health offerings.
Potential Benefits:
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Encourages relaxation and stress relief.
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Enhances body awareness and mindfulness.
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Supports emotional regulation and physical balance
Potential Risks/Considerations:
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May provoke emotional release or discomfort as awareness deepens.
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Physical movement may involve minor risks, including soreness or discomfort, especially for individuals with pre-existing conditions.
Crystal Reiki Energy Work Disclaimer
Acknowledgment of Energetic Healing:
Crystal Reiki is a holistic, non-invasive energy healing modality aimed at balancing the body’s energy centers. It does not replace traditional medical or psychiatric care but complements other healing modalities.
Potential Benefits:
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Promotes relaxation and stress relief.
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Supports emotional and spiritual well-being.
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Encourages balance and alignment in the body’s energy systems.
Potential Risks/Considerations:
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Some individuals may experience emotional release or heightened sensitivity after sessions.
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Results vary depending on individual openness and responsiveness to energy work.
Client Responsibility
I acknowledge that Crystal Reiki energy work is a complementary practice and not a substitute for licensed medical treatment. I agree to consult my healthcare provider for any medical or psychological concerns.
Breathwork Disclaimer
Acknowledgment of Potential Risks:
By signing below and participating in breathwork session(s), workshop(s), and/or program(s), I acknowledge that I understand any potential risks. Such risks may include, but are not limited to, loss of consciousness, dizziness, lightheadedness, tetany, and tingling sensations, which can pose a risk to my health and well-being—especially if I am unsupervised.
Health and Conditions Contraindications
I acknowledge that I will ensure my own proper supervision, monitoring, and safeguards when practicing breathwork at home. I release and forever discharge Mindful Soul Movement, LLC, and Founder, Alexandra Burkowsky, from all actions, causes of action, damages, claims, or demands whatsoever arising out of my participation in the breathwork session(s).
Health Conditions and Contraindications:
Breathwork is not advised for persons with a history of cardiovascular disease (including angina or heart attack), high blood pressure, glaucoma, retinal detachment, osteoporosis, or significant recent physical injuries or surgeries, without first consulting a medical professional. Breathwork is not advised for persons with severe mental illness or seizure disorders, or for persons using major medications, without first consulting a medical professional. Breathwork is unsuitable for anyone with a history of aneurysms. Pregnant women are advised to consult with their primary healthcare provider and/or OB/GYN before practicing breathwork.
Medical and Mental Health Disclaimer
Breathwork, somatic movement, and holistic health sessions do not replace licensed medical or psychiatric care. If I have any doubts or concerns about my health, I have consulted (or will consult) my physician or a licensed healthcare provider prior to participation.
Results and Commitment
The outcomes of any session(s) or program depend on the willingness and commitment of the client (and guardians) to follow the therapies and guidance suggested by Alexandra Burkowsky. Individual results may vary, and full participation in recommended practices greatly influences the benefits received.
Signature
By signing this waiver, I acknowledge that I have read and understand the terms and conditions presented in this Liability Waiver and Disclaimer, including the nature of the services offered by a Psychiatric Nurse Practitioner with over 10 years of training and 18 years of experience, and that outcomes of the session(s)/program depend on my own commitment and adherence to the suggested therapies and guidance.