The body is designed to move and movement is freedom Health History/Liability Waiver/Your Info Name(Required) First Last Location of Event/Session(Required)Email PhoneWould your doctor clear you for general exercise?(Required) Yes No If no, why?Do you have PTSD?(Required) Yes No Do you have bulging/herniated disc, glaucoma, high blood pressure, joint replacements, pregnant?(Required) Yes No Please list any concerns, injuries, surgeries or traumas during the last 7 years (auto accident, sports injury, C-Section, loss, other) and any other information you feel I need to know as it relates to our time together (physical, emotional)CONFIDENTIALITY CLAUSE Everything discussed within the confines of the time of our work shall remain confidential and shall not be divulged to any third party by your TRE® facilitator. If participating in group-work, no identifying material to be divulged outside of the group. Non-identifying case material may be discussed during supervision with a designated supervisor and for medical exam purposes. INDEMNITY I undertake TRE® of my own accord and accordingly indemnify the facilitator from any harm, loss or damages of any nature, whether bodily harm trauma or any other damages to my person or property resulting from the treatment, whether directly or indirectly. TEACHING THE TRE® EXERCISES I acknowledge and accept that I am NOT qualified to lead others through this exercise and that I will only use them for myself. Consent 1(Required) I have read the above and confirm it to be true.(Required)LIABILITY WAIVER TRE® (Tension & Trauma Releasing Exercises) are a member of a new class of treatment techniques and protocols referred to as Body-Based Therapy. While still considered experimental, these techniques are being used by therapists, nurses, physicians, psychiatrists and lay people worldwide. While there are theories as to how they work, why they work, and why they sometimes don't work, there is no accepted scientific explanation. As a result of their experimental nature, no individual teaching or practicing TRE® knows with certainty in advance how they or someone can be helped, or if this technique will help a particular person with a particular problem. To date, TRE® and other Body Based Techniques have yielded exceptional results in the treatment of psychological and physical problems. However, they are not meant to replace appropriate medical treatment or mental health counseling. I acknowledge that I am voluntarily participating in a group, workshop or practicing these exercises on my own choice. I am aware that by practicing these exercises or attending a workshop where these exercises are being used, I assume and accept the risk of any adverse outcome that might result from attending or using this technique. I recognize that Christine Varnavas and ANANDAWORKS LLC, and TRE® For All Inc, and Dr. David Berceli, do not recommend that I, or any person with whom I may use the techniques, stop using any prescribed medicine or other mental health counseling that I or he/she may be using, without consulting a doctor, even if after using the techniques it appears to indicate that such medicine or therapy is unnecessary. I will not hold Christine Varnavas, ANANDAWORKS LLC, or TRE® For All Inc, or Dr. David Berceli, liable for any damage to my emotional or physical health or any other personal complications arising in any way whatsoever from attending a workshop, using or teaching this technique.Liability Waiver I am aware that Christine Varnavas, is not a licensed physician or MD and therefore is not providing medical advice for the effects of TRE®.CAPTCHA © 2024 Christine VarnavasSite Design by Seek Balance Design FollowFollowFollow