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Pre-Check
Please confirm before we start:
I am 18 years or older.
I am currently not in an acute mental health crisis.
I am sober. No alcohol, no drugs.
I have no severe heart condition. Or I have medical clearance.
My Confirmation
I have read and understood this information.
I understand that FIVE MOVES® is not therapy.
I agree to gentle touch during the session.
I know that I can stop at any time.
I participate voluntarily and on my own responsibility.
Mover
With my signature I confirm all checked points.
Place, Date
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Guide
Name
Signature
Guide Only