New Client Intake Form

Dear Prospective Client,

Thank you for inquiring about my services in instructing yoga as a therapeutic approach to your wellness plan. It is my sincere pleasure to help you achieve your fitness goals in a restorative manner that will be both enjoyable and effective.

New Clients requesting service, please fill out the Client Intake Form.

To better serve you as well as ensure that we are suitable to collaborate with one another, please complete the Client Intake Form below and submit this through my private, secure website.

Once accepted, based upon the Scope of Practice set forth by The International Association of Yoga Therapists, you will receive a welcome email containing private and secure information. As a new client you will begin your consultations with Heather, and can schedule your yoga therapy sessions to create the positive changes that you may be seeking at this time in your life!

If for some reason we are unable to accept you at this time as a Blueberry Hill Yoga Therapy client, based upon the Scope of Practice set forth by The International Association of Yoga Therapists, we encourage you to check back with us in the future.

If you have any questions, please feel free to address them in the space provided in this form.

Thank you!
Sincerely,
Heather