I hereby apply for Soma Structural Integration bodywork and somatic education in the context of the Soma student clinic. I understand the intent is to improve the structure and functioning of my body and that the work is not represented as a substitute for medical care.
I recognize that the process of this educational experience necessitates that my body be touched, and I give permission to student practitioners and Soma faculty to touch my body. This consent form will apply to all Soma related treatment/sessions from this date forward, unless revoked in writing, for the duration of the training.
I understand that my paperwork/file will be retained by the Soma Institute. Beyond the cost for the session ($50), there is no additional charge for the work and the Institute will not bill any insurance as the work is being done by students, being supervised by instructors.