Breathe with Lily
Liability Waiver & Informed Consent
Please read this document carefully before participating in any session, workshop, or retreat.
We prioritize the safety and well-being of all participants. 9D Breathwork and BioEnergetic wellness services, including Scalar Waves and Vibroacoustics, may not be appropriate for everyone.
Medical Contraindications
Please obtain medical clearance before participating in high-intensity Breathwork if you have or have a history of any of the following:
- Cardiovascular disease, heart attack, angina, or stroke
- High or low blood pressure, or aneurysm
- Epilepsy or seizures
- Diabetes or significant thyroid conditions
- Glaucoma or detached retina
- COPD or significant respiratory conditions
- Severe osteoporosis
- Recent surgery, injury, or childbirth
- Fainting or vasovagal episodes
- Another chronic or medically managed condition that may be affected by intensive Breathwork
If you have asthma, bring your inhaler and inform your facilitator.
High-intensity Breathwork may also be inappropriate for individuals experiencing severe PTSD or trauma, emotional or spiritual crisis, psychosis, paranoia, schizophrenia, uncontrolled bipolar disorder, severe psychiatric symptoms, recent psychiatric hospitalization, or those without adequate mental-health support.
If you are pregnant or may be pregnant, If you are pregnant or may be pregnant, you MUST inform your facilitator. Gentle, pregnancy-appropriate Breathwork may be offered; activating/high-intensity Breathwork will be avoided or modified.
Scalar Waves
Do NOT use without medical clearance if you:
- Are pregnant or may be pregnant
- Have epilepsy or seizures
- Use medication delivered through a skin patch
- Have a pacemaker, ICD, cochlear implant, neurostimulator, insulin pump, CGM, implanted medication/infusion pump, or other implanted, attached, body-worn, battery-operated, programmable, or electronic medical device
Vibroacoustics
Obtain medical clearance if you have:
- Blood clots or DVT
- Significant cardiovascular or circulatory disease
- A bleeding disorder
- Severe osteoporosis
- Significant neuropathy
- Recent surgery, fracture, or injury
- Pregnancy
Inform your facilitator of joint replacements, metal plates, screws, pins, surgical hardware, or other implants.
Important: Important: Disclosure does not replace required medical clearance. This list is not exhaustive. If you have a medical or mental health condition, take medication, have an implant or electronic medical device, or are unsure whether participation is appropriate, consult an appropriate healthcare professional before participating.
Acknowledgement & Release
I certify that the health information I have provided is accurate and that I will not participate when I have a contraindication or have not obtained required medical clearance.
I understand that the facilitator is not acting as my physician or mental-health provider and that these services are for wellness and educational purposes and are not intended to diagnose or treat medical or psychological conditions.
I voluntarily participate, understand that these activities may produce physical and emotional responses and involve inherent and unpredictable risks, and assume the ordinary and inherent risks of participation. I may stop participating at any time.
To the fullest extent permitted by law, I release Lilian Acevedo, Breathe with Lily, Quantica Wellness Group, its facilitators, representatives, contractors, and host locations from claims arising from the ordinary and inherent risks of my voluntary participation.
I accept financial responsibility for medical or emergency treatment I may require. By signing below, I confirm that I have read and understood this waiver and voluntarily agree to its terms.
Photography & Video Release
I understand that photographs and/or video may be taken during events for promotional, educational, or marketing purposes. By participating, I grant permission for my image, likeness, and voice to be used by Lilian Acevedo, Breathe with Lily, Quantica Wellness Group, and its affiliates in print, digital, and social media without compensation.
If I prefer not to appear in photographs or videos, I will notify the facilitator before the session begins, and reasonable efforts will be made to honor my request.
Email Marketing & Communication Consent
By providing my email address and affirmatively opting in to marketing communications, I consent to receive occasional emails from Lilian Acevedo, Breathe with Lily, and Quantica Wellness Group regarding upcoming events, classes, workshops, retreats, wellness offerings, educational content, and related updates. I understand that I may unsubscribe from marketing communications at any time using the unsubscribe link provided in those emails.
Breathwork Specific Safety Guide & Contraindications
For an overview of safety guidelines and contraindications for 9D Breathwork, download our full Safety Guide below. We recommend reviewing this document before your first session.
Download Safety Guide (PDF)Breathe with Lily · Quantica Wellness Group · quanticawellnessgroup.com