Schedule Appointment with Shiva Cor Healing and Yoga

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Item	Quantity	Total
Shiva Cor Membership	x CA$52.50	CA$52.50 per month
Total: CA$52.50	Coupon:

IMPORTANT YOGA GUIDELINES:

•Any person with a known medical condition should always consult their physician before engaging in yoga practice. Women who are within the first 3 days or experiencing a heavy menstruating cycle or are pregnant should avoid breath of fire and other exercises that powerfully engage the naval center. Inverted poses where the legs are lifted higher than the naval point should also be avoided. Long deep breathing can be done in the place of breath of fire, in-fact is highly recommended to help with a deeper emotional connection. Resting in child’s pose or savasana is also encouraged.

KINESIOLOGY INFORMED CONSENT:

•Informed Consent is the process by which a treating kinesiologist discloses appropriate information to a competent person so the person may make a voluntary choice to accept or refuse treatment and disclose or share information related to treatment. Informed Consent is an ongoing process and not something that is simply agreed to prior to assessment or treatment.

•Kinesiologists who make recommendations or decisions regarding a specific person’s wellbeing, whether providing medical or non-medical based exercise prescription, disability management, workspace ergonomics, return to work planning, medical bracing/biomechanical supports, research, etc., must obtain Informed Consent prior to affecting the persons' wellbeing.

•There is the slight possibility of straining a muscle or spraining a ligament during muscular fitness testing or training. In addition, you may feel muscle soreness 24 to 48 hours following testing or training sessions, commonly referred to as DOMS or “delayed onset muscle soreness”. The chance of these conditions occurring can be minimized by performing a proper warm-up prior to the test or exercise sessions. If muscle soreness does occur, please identify the change to the therapist/trainer so they may modify or restrict the activity to limit these symptoms if possible.

•Freedom of Consent Your permission to perform the physical fitness tests and prescribed exercises is completely voluntary. You are free to stop the tests or exercises at any point if you so desire. I have read this form carefully and I fully understand the risks associated with the procedures/exercises that I will perform. Knowing these risks and having had the opportunity to ask questions that have been answered to my satisfaction, I consent to participate in these tests.

MEDICALLY APPROPRIATE CARE:

•If a minor and their guardian decline assessment or treatment which is deemed necessary by at least 2 medical doctors the case should be referred to the BC Ministry of Children and Family Services.

•If an adult who has capacity declines care after the benefits and risks have been appropriately explained and the benefits far outweigh the risks, you must respect the decision.

• If an adult is incapacitated and unable to provide informed consent but demands treatment, you must decline until the individual has the capacity to make informed decisions.

WHEN ATTENDING IN-PERSON SESSIONS, PLEASE COMPLETE THE FOLLOWING BC COVID-19 SELF ASSESSMENT:

https://bc.thrive.health/covid19/en