Therapeutic Yoga

Individual sessions or small groups

Therapeutic Yoga Referral Form

Name

First Name

Last Name

Date of Birth

Phone

(###)

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####

Email

Referred Physician or Health Care Team

write "self" if its self referral

Referral for:

Pertinent Medical History/ Reason for Referral:

Disclaimer

A variety of yoga interventions may be used for chronic conditions and and oncology patient , such as sitting in a chair or resting flat . Below is a brief explanation of yoga interventions: Awareness practice. Mental inventory of patient’s own body . The patient is encouraged to allow him- or herself to feel and sense the present moment without changing anything. Breath practice (three parts). Three parts of the breath practice include the abdomen, diaphragm, and chest. Patients are instructed to completely fill their lungs with air, as though breathing into their belly, rib cage, and upper chest, and then exhale completely, reversing the flow . Movement: head and neck series. Patients move their head and neck through its range of motion: turning the head side to side, dropping ear to shoulder, dropping chin to chest, and rolling shoulders forward and back Movement: seated cat-cow. In the cat posture, the spine is rounded like an angry cat. In the cow part of the posture, the spine bends downward, opening the chest and stretching the abdomen . The gentle movement and stretching, coordinated with the breath, relieves stress and tension by calming the senses. (A contraindication of these postures would include bone metastasis.) Yoga nidra. Also known as “yogic sleep,” yoga nidra is a deep relaxation technique and a form of meditation. The body is completely relaxed and the practitioner turns his or her awareness inward by listening to a set of instructions, much like a guided meditation. Guided imagery. A mind-body intervention in which a trained practitioner helps a participant to evoke and generate mental images that simulate or re-create the sensory perception of sights, sounds, tastes, smells, movements, and images.

Waiver and Liability and Consent

I hereby agree to the following: It is my choice to receive yoga therapy ( therapeutic yoga) . I understand that the practice of yoga therapy is provided for the well being of my body and mind, and in no way takes the place of a doctor’s care when it is indicated. I acknowledge that yoga therapy is not a substitute for a medical examination or diagnosis, and that it is recommended that I see my primary health care provider for that service. Information exchanged during any yoga therapy session is educational in nature and is intended to help me become more familiar and conscious of my health status and is to be used at my own discretion. Yoga therapy sessions may be offered in a physical location or offered online by video or using other digital media or platforms. All of such offerings, either physical or online, shall be considered “Activities.” I recognize that I must be in adequate physical and mental health to participate in the Activities. I understand that the Activities may involve physical exertion and I represent and warrant that I am physically fit enough to participate, and have no medical condition which would prevent my full participation in the Activities. If there is any doubt in my ability to participate in the Activities, I understand that it is my responsibility to consult with a physician prior to and obtain permission from my physician regarding my participation in the Activities. If I have done so, I have taken the physician’s advice. I understand that the instructor reserves the right to refuse my participation in any Activity on medical, fitness or any other grounds. Furthermore, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in these sessions. I agree to inform my instructor of any physical limitations, physical discomfort and/or injuries before or during classes, and I take full responsibility for any nondisclosure. Therefore, I acknowledge that participation in this program may involve some risk of physical injury due to the nature of the activity. In consideration for my acceptance in this program, I do hereby release and forever discharge, for myself, my heirs, executors and administrators, any and all claims to collect damages against Christina Martini Yoga & WellnessLLC, and Shala Santosha Astanga Yoga & Wellness, Maui Cancer Advocare, LLC. or representatives, employees, agents or officials, directors or sponsors. I further represent that I am in good physical condition and, as such, am able to participate in this program. I promise to practice yoga mindfully. I have read the above waiver of liability and fully understand its contents. I voluntarily agree to all its content and to the terms and conditions stated above. 24-HOUR CANCELLATION POLICY Because your appointment time has been reserved especially for you, clients are required to give a minimum of 24 hours notice when cancelling an appointment, at which time the appointment can be rescheduled at no charge. Sessions cancelled with less than a 24-hour notice will be charged the full session rate.

Self Referral and Health Care Professionals may complete referral online.

Let's Get Started. The benefits of therapeutic yoga are vast and range from greater strength and balance to an improved heart rate variability (HRV) and increased mental clarity. Growing research supports the efficacy of the therapeutic yoga in reducing symptoms of depression, anxiety, post traumatic stress, cancer treatment side effects and more.

If you are interested in integrating Therapeutic Yoga into your patient’s care plan, personalized Integrative Postures, Breathwork, And Meditation and Wellness Modalities

email or call Christina Martini 714 488 0623

How To Refer To Therapeutic Yoga?

Simply complete the referral form and submit or give patients A Script or Rx and write “Therapeutic Yoga” with your special instructions. When the yoga therapist receives the referral, An assessment will be performed and progress note for your patient’s file will be sent. Clients can often use their health savings accounts, flexible spending accounts, and other such accounts as well or if insurance does not have benefits for such services, pay out of pocket, self pay for yoga therapy services. We do not bill at this time for services.

Therapeutic Yoga As A Form Of Integrative Complementary Healthcare

Yoga therapy functions through three goals that intends to optimize health system performance by improving the health of populations, reducing costs, and improving the patient experience of care.

Now Offering In Person and Virtual Appointments.

Yoga is a wholistic multi-dimensional system of health and well-being that focuses on the mind and its functions, with multi-component mind-body practices, including four main categories of practice:

1. ) physical postures and movement

2.) breathing exercises

3.) relaxation

4.) mindfulness and meditation

What happens in a yoga therapy session?

During a yoga therapy session, the yoga therapist will work with you to create a personalized care plan for your personal practice that is designed to help you reach your health goals. Working one-on-one with a yoga therapist can be particularly useful for people who are new to a yoga practice and those who have health challenges.

Each Session will include:

1. Deep listening. The initial session is 60-75-90 minutes and begins with an in-depth conversation designed to help the yoga therapist understand your health challenges, history, concerns, interests, and goals. Intake Health and Physical information is gathered.

2. Breathing and movement instruction. You will be guided through some simple movement and breathing practices to assess your strength, flexibility, and balance as well as your habits of body and mind.

3. Creation of a personalized practice. The yoga therapist will create a personalized yoga practice designed to suit your abilities, health goals, medical challenges, interests and time. This may include postures, breathing techniques, and meditation, as well as the application of yogic principles such as gratitude and non-harming.

4. Practice instruction. After guiding you through your practice, the yoga therapist will provide materials (handouts and sometimes audio and/or video recordings) to help you practice regularly at home. Suggested practice independently is everyday if possible 20-30 min a day.

5. Return sessions. Follow-up sessions are 60 minutes and will help refine your practice and as you become more confident—and/or your needs and conditions changes— other offer of modifications and/or new material will be added to your care plan.

It’s important to recognize that, while yoga has great power to heal, it only works if you have a consistent practice like medications. It is natural, potent and healing! Because regular practice is essential to gain and witness and feel the benefits of yoga, it’s helpful to plan your day with prioritizing the right time for your yoga therapy session and also the right time for three to six days of yoga practice at home . After the initial period, some individuals enjoy having regular sessions, monthly or weekly. Others return for occasional “follow-up - reassessment” visits.

Integrative Complementary Therapy

Ready To Get Started? TRANSFORM YOUR PHYSICAL, MENTAL AND EMOTIONAL HEALTH AND CHANGE YOUR LIFE

If you are ready to begin, click the link below to make arrangement for your Yoga Therapy session and schedule your time. Sessions are conducted virtually on Zoom, or by phone and also offered in Person on Maui. Please contact Christina Martini privately via email.

Let’s get started on your patient’s journey today!

Conditions that Yoga Therapy Supports

Yoga therapy can benefit a wide range of disease conditions and health ,to name a few benefits;

The Evidence & Benefits Of Yoga Therapy

Evidence-based research uses simple tools and practices that have shown that yoga therapy has the following benefits:

Yoga therapy Sessions to name a few conditions :

Healing Yoga for Back and Neck Pain

Yoga for Cancer

Stress Relief Yoga

Healing Yoga for Knee Injury and Post Surgery

Healing Yoga for Shoulder Injury and Post Surgery

Healing Yoga for Hip Injury and Post Surgery

Healing Yoga for Feet and Ankle Injury and Post Surgery

Healing Yoga for Hand Injury and Post Surgery

Yoga for Resilience

Yoga for Emotional Freedom

Yoga for Chronic Pain

Yoga for Heart Health

Yoga for Weight Management and Blood Sugar Balance

Yoga for AutoImmune Resilience

Yoga and Pain Management

Is Yoga Therapy for You?

Yoga therapy has exponentially expanded into conventional U.S. healthcare under the Integrative - Complementary Health Services over the past decades.

Yoga therapy is perfect for anyone with a mindset that includes a desire for self-care and who wants to be an active participant in their health and wellbeing. Yoga therapy can be provided in a one-on-one session and has the advantage of tailoring a practice to the individual’s needs. This allows for a recursive process of trial and modification via the patient’s feedback to refine the plan of care.

Closed-door group yoga therapy provides a framework for a simple assessment of each person before attending the group session to assist with symptom management. Group sessions have the added benefit of community (sangha) for patients who are facing similar health challenges while making emotional and social connections. Yoga therapy is multi-model and closely resembles the bio-psycho-social-spiritual model.

Yoga Therapy Educational Standards

Yoga is inherently therapeutic, but there is a clear distinction between a yoga class and a yoga therapy session. Although both yoga teaching and yoga therapy are valuable, the scope of practice is different. Yoga therapy is a complementary and integrative therapeutic approach that may provide useful information on contraindications and comorbidities. Ultimately, yoga therapy is self-empowering and includes careful guidance and application of the proper tools by a fully trained yoga therapist using the methods of yoga to potentially restore health.

Christina Martini has years of practice specializing in Yoga Therapy for health and pre existing conditions, diagnosis and preventative measure. She has years of hands on applied knowledge and experiences in patient and outpatient health care settings; oncology (chemo/radiation/immuno therapy/clinical trials) primary care, medical surgical pre and post surgical recovery and rehabilitation and physical, recreational, occupational therapy. This level of experience consisted of years of formal rigor of clinical training and continuing education along with meeting science competencies, clinical hours, anatomy, physiology, pharmacology knowledge, disease process, pre and post operation clinical knowledge, nursing assessments,and practicum of 20 + years working along side medical providers, surgeons, physical and occupational therapists and alternative integrative medicine, naturopath, eastern medicine and many other adjuvant therapies. She is a certified patient advocact/navigator, delivering professional practice with clients that need support through hospice, palliative, end of life comfort measures, and current with HIPAA, ACLS, BLS and CPR.