Form to Submit Ethical Concerns and Alleged Ethical Misconduct

The confidentiality of anyone filling out this form will be strictly maintained by the ethics committee.

Your Contact Info

First name *

Last name *

Email *

Phone number

Inquiry Information

Name of Practitioner, Facilitator or School you believe warrants inquiry

Are they a GPBA member?

Yes

If the Practitioner or School involved is not a Certified Professional GPBA member, or Ethically Compliant Facilitator or Program, the GPBA does not have the jurisdiction to regulate. However, we will provide guidance, support and expertise about how this situation could be addressed, personally and by the Breathwork community.

Please describe the nature of your inquiry.

As far as possible, include dates and precise description of the event(s) you find unsatisfactory and/or unacceptable. If there are witnesses wishing support of your inquiry, include their names and contact details. If the nature of the inquiry has occurred over a period of time, it would be helpful to have a description of incidents over time.

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Form to Submit Ethical Concerns and Alleged Ethical Misconduct

Your Contact Info

Inquiry Information

Please describe the nature of your inquiry.

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Contact Info