Breathwork – Service Agreement

By enrolling in a Sacred Breathwork session at White Oak Medicine, I, the participant, agree to the following terms:

Guided by a Medical Professional

I understand that Sacred Breathwork is facilitated by Veronica Johnson, FNP-C, PMHNP-BC, a licensed medical provider with advanced training in trauma-informed care and breathwork. While the session is designed to support emotional release, nervous system regulation, and holistic healing, it is not a substitute for medical or psychiatric treatment. This is a wellness-based practice, not a diagnostic or medical service.

Medical and Mental Health Considerations

I acknowledge that it is my responsibility to inform Veronica Johnson, FNP-C, PMHNP-BC, of any medical or psychiatric conditions that may affect my ability to safely participate in breathwork. These may include (but are not limited to):

• Uncontrolled high blood pressure (hypertension)
• History of seizures or epilepsy
• History of psychosis, schizophrenia, or bipolar disorder
• Significant cardiovascular or respiratory conditions
• Recent major surgeries or physical injuries
• Pregnancy (in any trimester)
• Current use of medications that affect breathing, heart rate, or psychological state

I agree to disclose any relevant conditions in writing prior to the session. I understand that failure to do so may increase my risk of medical or psychological complications, for which I accept full responsibility.

Assumption of Risk

I understand that breathwork may involve emotional release, physical movement, changes in breathing patterns, and entry into altered states of consciousness. I recognize that this work can be physically, emotionally, and spiritually intense. By choosing to participate, I accept full responsibility for any risks, including but not limited to dizziness, emotional discomfort, physical strain, or unexpected psychological responses during or after the session.

Right to Pause or Opt Out

I understand that I have the right to pause or stop participating at any point during the session. If I feel overwhelmed or unwell, I may return to a normal breathing pattern, rest, or quietly exit the session. I acknowledge that healing happens at my own pace, and I am not obligated to push beyond my personal limits, and I agree to inform Veronica if I plan to exit the session. 

Liability Waiver

I hereby release and hold harmless Veronica Johnson, FNP-C, White Oak Medicine, and all affiliates from any liability, claims, or causes of action arising from or related to my participation in Sacred Breathwork. This includes any physical, emotional, or psychological effects I may experience during or after the session.

Acknowledgment and Consent

Payment serves as my acknowledgment that I have read, understood, and agree to the terms of this agreement. I consent to participate in Sacred Breathwork at White Oak Medicine with full awareness of the associated risks and responsibilities.