As part of the registration process for an event at MINDAI™ Retreat, we ask that you read the following information and complete the attached health form.

MINDAI™ is intended as a personal growth experience and is not a substitute for psychotherapy or medical care. We are committed to creating the safest setting possible but ask that you take responsibility for your own well-being. This includes deciding whether the workshop is appropriate for you and seeking any outside assistance following the workshop that may be useful for integrating issues that may arise through MINDAI™ process. If you have any concerns about your participation, it is essential that you consult your physician and/or therapist, as well as workshop organizers, before attending.

Please be aware that the MINDAI™ process can involve intense emotional  and some physical experiences. This workshop is not appropriate for pregnant women or for persons with recent cardiovascular events, such as a history of heart attacks, cardiovascular surgery, severe hypertension, arteriosclerosis, angina pectoris, or arrhythmias. The workshop is also not suitable for individuals with recent surgery or fractures, acute infectious illnesses (including COVID-19), grand-mal epilepsy, certain diagnosed psychiatric conditions, or active spiritual emergencies.

Please indicate ‘yes’ or ‘no’ in the dropdown box for various medical conditions and answer the additional questions. Space will be provided at the end of the form for explanations where appropriate.

The information you share will be kept confidential and will be seen only by those responsible for facilitating the workshop. In addition to reviewing the information you provide, we may reach out to you prior to the workshop if we have further questions or need additional information.

Health Form

Please complete this health form thoroughly and accurately before attending the retreat. Note that filling out this form does not constitute registration for the retreat. Provide honest answers and include additional details for any response marked "yes." To ensure your health form is linked correctly to your registration, use the same email address you registered with. If you have any questions or require assistance, please contact our team at breathe@mindai.institute.