Yoga Therapy Intake form

Yoga Therapy is a specific application of yoga tools- postures/exercises, breathwork, meditation techniques to address an individual’s physical, mental and emotional needs.  Private sessions and group sessions are available livestream and in-studio. 

What is YT?

About our time together:

On our first visit, we will review the informaiton you have provided. Please wear comfortable clothing so that we are able to assess your posture and strength. 

Yoga Therapy Intake form

Please fill out the following health declaration form in order to participate in our yoga therapeutic sessions. thank you.
Are you familiar with the practice of yoga therapy?
In case needed, do I have permission to receive information about your health from your healthcare provider?
Past Medical History: please indicate all that apply:
Past Surgical History
It is my intention to create a safe, well-balanced yoga experience for you. 

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