For Practitioners — Breath Training Referrals | Breath Plan
In clinical partnership with functional medicine nurse practitioners • Evidence-based breath training for nervous-system regulation
For practitioners

A breath training partner for your patients

Most people who come to Breath Plan were sent by a clinician. This page is the short version of what we do, where our scope ends, and what happens to a patient you send — so you can decide whether it belongs in your care plan.

Refer a patient → Book a call with Lottie →

Who it suits

Being specific about this in both directions saves everyone a wasted consultation.

A good fit

  • Carrying a sustained stress load, with the physical signs that come with it
  • Sleeping poorly, or waking unrested despite adequate hours
  • A habitual upper-chest or mouth-breathing pattern
  • Doing well clinically, but with nothing practical to use between appointments
  • Willing to spend a few minutes a day on a practice

Not a fit

  • In acute crisis, or needing urgent or emergency care
  • Looking for something to take the place of medical treatment
  • Expecting a passive intervention that works without daily practice
  • Wanting a diagnosis, or a clinical opinion on one they already have

Scope of practice

Breath Plan is a wellness coaching practice operated by Lottie Medvit Wellness Coach, LLC. It is not a medical practice, and we would rather be blunt about the boundary than have you discover it later.

What we do

Teach and rehearse functional breathing mechanics — nasal, diaphragmatic, slower, with a longer exhale.

Build a daily practice the patient can actually sustain, and adjust it as they change.

Tell you when your referral has booked, so you know the hand-off worked.

Send someone back to you when what they describe belongs with you.

What we do not do

Diagnose, treat, or manage any condition — including the one you are treating.

Advise on medication, supplements, or any change to your care plan.

Hold or ask for clinical records. We are not a covered entity and do not want to be.

Present breath training as a substitute for care. It complements yours; it never replaces it.

The mechanism, briefly

Stated conservatively, and the same way we state it to patients.

A longer exhale

Increases vagal (parasympathetic) activity, which slows the heart rate. It is the most reliable lever a patient can pull without any equipment.

Nasal, lower, slower

Keeps carbon dioxide in a healthy range — which is what helps the oxygen already in the blood reach the tissues. Blood is typically near-saturated; what changes is delivery.

A regulated baseline

Creates the space to respond instead of react. Most of the value patients report is in that gap, not in any single session.

How referring works

One short form, and your patient’s permission comes first.

1
Send their details

Fill in the referral form with your patient’s name and contact details, with a tick to confirm they authorized it. Please leave out any clinical detail.

2
Lottie reaches out

She contacts your patient directly, usually within one business day, and you get a copy of the referral by email for your records.

3
They have a free consultation

Thirty minutes with Lottie, no cost and no obligation — including the honest answer that breath training is not the right fit right now.

Questions clinicians ask

What is breath training, in practical terms?
It is coaching in how a person breathes at rest and under load — nasal breathing, a slower rate, a longer exhale, and diaphragm use rather than upper-chest effort. Sessions are one-to-one over Zoom, and the work between sessions is a short daily practice. It is education and rehearsal of a skill, not a treatment.
Where does your scope end?
We do not diagnose, treat, or manage any condition, and we do not adjust medication or advise on it. If a patient describes something that belongs with you, we say so and send them back to you. Breath training complements the care you are already providing — it never replaces it.
Which patients tend to benefit most?
People carrying a high stress load, poor sleep, or a habitual upper-chest or mouth-breathing pattern — and in particular the patient who is doing well clinically but has no practical self-regulation tool to use between appointments.
Who is not a good fit?
Anyone in acute crisis or needing urgent care, anyone looking for a substitute for medical treatment, and anyone unwilling to practice most days. This is a daily skill, not a passive intervention, and it does very little for someone who does not practice it.
What are the safety considerations?
The everyday work — slower, lower, nasal breathing — carries very little risk. Breath holds are the part that warrants care: if a patient has a heart, lung or blood-pressure condition, we ask them to talk with their provider before adding holds. Tell us anything you want us to avoid and we will avoid it.
Will I get clinical reports back?
No. We will let you know that your referral booked, so you know the hand-off worked. Anything beyond that comes from the patient, at their discretion — we are a wellness coaching practice, not a covered entity, and we do not want to hold clinical information about your patient.
What does it cost the patient?
The first conversation is a free 30-minute consultation with no obligation, including the obligation to continue. Programs run from $349 for three sessions to $840 for an eight-session immersion, with an eight-week group program at $595.
How quickly will they be seen, and do you work outside Pennsylvania?
Consultations are usually available within a few days — the calendar opens from one day ahead. Sessions are held over Zoom, so location is not a constraint.

Rather talk it through first?

Book the same free 30-minute call your patients would. Bring the awkward questions — the boundary ones especially.

Book a call with Lottie →

Lottie Medvit is a Certified Breath Training Coach and a Certified Natural Health Professional (CNHP). Breath Plan is a wellness coaching practice, not a medical practice, and nothing on this page is medical advice. If a patient has a heart, lung or blood-pressure condition, they are asked to talk with their provider before adding breath holds. Questions about the referral pathway: [email protected].