Yoga Therapy Case Study Intake Form & Consent

Thank you for your interest in participating in a Yoga Therapy Case Study.

I am currently completing my 300HR Advanced Training and, as part of the programme requirements, I am undertaking a number of supervised case studies.

Yoga therapy is a personalised approach that uses movement, breathwork, relaxation, mindfulness and other yogic practices to support overall wellbeing. Sessions are tailored to your individual needs and goals.

What Participation Involves

As a case study participant, you will be asked to:

• Complete this intake form

• Attend an initial 1 hour consultation which can be in person or online

• Engage with any home practices that are recommended

• Provide feedback throughout the process

Confidentiality

All information provided will be treated confidentially and stored securely.

As these sessions form part of a professional training programme, aspects of your case may be discussed with my training supervisors and assessors. Any information shared for training purposes will be completely anonymised.

Important Information

Yoga therapy is intended to support wellbeing and is not a substitute for medical care, diagnosis, treatment, psychotherapy or other healthcare services.

You should continue to follow the advice of your GP, consultant, therapist or other healthcare providers and inform me of any relevant health conditions, injuries, medications or changes to your health.

Participation is voluntary and you may withdraw at any time.

Thank you for placing your trust in this process.

Consent

Please confirm the following: