yoga therapy waitlist

Yoga Therapy Interest List

All sessions are held via Zoom.
Your Name*

First NameLast Name
Your Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
YesNo
Your Email Address*
example@example.com
Date of Birth*

MonthDayYear
Date
How did you hear about ABWY?*
Sign me up!No Thanks
What kind of goals do you have in seeking yoga therapy? Examples might be recovering from an injury, improving the quality of your sleep, mobility concerns, mental health and mindfulness goals, etc.*
YesI'm not sureNo
Please share any relevant health / injury / surgery history. If you have received any instructions from your medical provider about physical activity limitations, please include these details!*
Yoga therapy is self pay only, though I can accept HSA or provide a superbill for reimbursement from your insurance provider (I cannot guarantee reimbursement). I personally subsidize two sliding scale client spaces. These spaces are meant for clients who are unemployed, or underemployed, or have other financial barriers that make the standard cost of yoga therapy prohibitive. Sliding scale is discounted 20-50% of the standard cost (currently $110 for intake session, $90 per follow up session). Would you like to be notified of sliding scale availability? Please check all that apply.

Yes, please notify meI can only pay sliding scaleI need a 20% discountI need a 30% discountI need a 40% discountI need a 50% discountI do not need sliding scale
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Yoga Therapy Interest List