Disclaimer: While the outcome of trauma informed yoga practices are often positive, the degree to which any particular individual will reach their goals is not predictable. 1-1 trauma informed yoga practices are designed as an adjunctive therapy for psychological trauma and should be used within a broader therapeutic framework that includes opportunities for cognitive & verbal processing. Assessments are not a substitute for a medical diagnosis with a physician, psychiatrist, psychologist or other licensed health care provider. Kathryn Fa is not a registered medical doctor. Kathryn Fa is certified by The Trauma Centre at JRI to facilitate Trauma Sensitive Yoga as an adjunctive intervention for Complex &/or Developmental Trauma. Supervision: Kathryn Fa’s clinical supervision is with Dave Emerson and/or Jenn Turner (Co-Directors, Centre for Trauma & Embodiment), within a monthly TCTSY peer reflection group. Consent Statement: Just like any form of physical activity, yoga carries a risk of injury and I agree to take precautions and responsibility for my own actions. I have, to the best of my ability, disclosed any necessary information about prior injuries, pre-existing medical conditions and personal history that may be relevant to my safety and the safety of others. I understand that TCTSY is an adjunctive practice and that participants are advised to have access to an established reflective space within which they can verbally & cognitively process their trauma history. I am aware that Facilitators of TCTSY do not provide psychotherapy during the course of the yoga session but that topics in psychoeducation may be covered. I understand that TCTSY is not considered useful if I have needed a hospitalisation within the last 6 months, for my trauma related experiences. By agreeing to work with Kathryn Fa I am agreeing to the information in the above section(s) being collected, processed and stored by Kathryn Fa such that she may comply with her legal and regulatory obligations to the IA-TCTSY Guidelines on Ethical Practice, the Information Commissioner's Office & in accordance with her Privacy & Confidentiality Policies. I understand that no information about me will be shared with any third party unless Kathryn Fa judges an exception to confidentiality has been met. A TCTSY Facilitator has the right to deny or terminate service to any person who may represent a threat to the safety of themselves and/or others. I have read and discussed the above information with Kathryn Fa and have been given the opportunity to ask questions and discuss any concerns about entering into a course of Trauma Sensitive 1-1 Yoga or TCTSY.

Session Cancellations and Holiday Periods: Kathryn & the client each take responsibility to ensure that they are available for all agreed sessions, at the appropriate time & location. If sessions are taken online Kathryn and a client each take responsibility to ensure they have a stable internet connection and suitable device. The cancellation period for a session is 24hrs. All sessions cancelled by a client outside of the 24 hr period will be charged for in full. All sessions interrupted by a client’s unstable internet connection and/or faulty device will be charged for in full. Where possible an alternative session time will be scheduled during the same week. If Kathryn needs to cancel a session for an unavoidable and unpredictable event the session will be made up to the client at no extra cost, ideally within the same week.

Confidentiality Policy: No information regarding a client will be shared or distributed. Exceptions to Confidentiality: Under the following conditions it may be necessary to disclose information pertaining to a client: If in Kathryn’s judgement a client poses a risk of harm to themselves or to others. If a client reports information indicating that a vulnerable person is suffering neglect or abuse‣ If appropriate & only after seeking consent from the client, it is felt necessary to consult with a treating physician, therapist, other care provider or with a senior colleague and/or supervisor.In some cases Kathryn’s work will take place as part of a wider clinical or therapeutic team. In such cases it may be useful for Kathryn to participate in team meetings, reflective practice groups & supervision sessions. In these instances all references to a client will be anonymised. All clients are asked to give contact details for their primary physician &/or their primary therapist/care provider. In addition a client may wish to provide an emergency contact number.

Yoga Atelier. kathryn@yogaatelier.co.uk