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Yoga Therapy 

Ready to go beyond general yoga classes? Yoga Therapy is a one-on-one, customized approach that applies yogic principles and tools to specific physical, mental, or emotional challenges. We partner with you to create a personalized healing plan, focusing on your specific symptoms, history, and goals. This is a gentle, evidence-based path toward self-management, relief, and resilience.

Is it Right For You?

Your First Step: The Intake Form 

To ensure Yoga Therapy is the best fit for your unique needs and to allow us to prepare a highly personalized plan, we ask all prospective clients to complete a detailed intake form. It only takes a few minutes and is kept completely confidential. Once submitted, we'll review your details and contact you within 1-2 business days to schedule your initial consultation.

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Yoga Therapy Intake Form

Birthday
Month
Day
Year
Do you have a personal history with any of the following diagnoses?

By signing this form you are acknowledging that all information is correct and that you are authorizing Yoga Therapy, yoga instruction, and meditation practices and techniques intende to help facilitate healing and promote overall well being. Yoga Therapy is not a substitute for Cognitive Behavioral Therapy or for working with a licensed professional. You also acknowledge that I, am not a Licensed Professional Counselor, and that I am not acting as such. You agree to verbal cues, physical adjustments, and suggested practices based solely on my qualifications as a Yoga Therapist.


Please sign and date.

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