Prepare for Your Session

  1. Please fill out this form electronically

  2. Save it as a PDF

  3. Send it back to me via email

If for some reason it is not possible to follow the steps above please either:

  • Print it, fill it out, then Scan it and send it back to me via email

  • Or print it, fill it out and mail it to me 

This information will be kept private and confidential.

Thanks for scheduling an appointment with me!

  1. Please fill out this form electronically

  2. Save it as a PDF

  3. Send it back to me via email

If for some reason it is not possible to follow the steps above please either:

  • Print it, fill it out, then Scan it and send it back to me via email

  • Or print it, fill it out and mail it to me

This information will be kept private and confidential.

IAYT Scope of Practice

If you are interested in learning what my role is as a Yoga Therapist, read the Scope of Practice published by the International Association of Yoga Therapists (IAYT).

IAYT Code of Ethics

I am a Certified Yoga Therapist recognized by the International Association of Yoga Therapists. If you are interested, read the Code of Ethics published in the IAYT website.

Questions? Ask Susana

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susanaviniyoga@gmail.com  
 Belmont, California. U.S.A. 
(503)706 5733 

© 2020 by susanaprana Susana Laborde-Blaj 

Photography & design Susana Laborde-Blaj