Fortify Resilience using Mindfulness & Yoga Capsules 
APPLICATION FORM - OCTOBER 2022

This full scholarship opportunity is brought to you by the National Paralysis Resource Center of the Christopher & Dana Reeve Foundation. The information and techniques equip health professionals who serve persons who use wheelchairs with sets of 1-5 minute mindfulness and yoga techniques (capsules) to fortify resilience in the body, breath and mind. This is especially critical during times of continued change, challenge and uncertainty.

Each science-smart interactive session is provided live and online using Zoom on a Saturday from 10:00 a.m. – 5:30 p.m. Eastern Time. Please adjust for your time zone.  Attend one or all three parts of the series:

10/8/2022: BODY
Focus: physical resilience. Includes a care package with an "RxRelax Seated Therapeutic Yoga" DVD.

10/22/2022 - BREATH 
Focus: emotional resilience and regulation. Includes a care package with a "Relaxation Capsules" CD.

10/29/2022 - MIND
Focus: attention and memory fatigue, immune modulation, restorative functions like rest and sleep, experiences of trauma, and gene changes. Includes a care package with the 2-CD set "RxRelax for Insomnia". 

Each session provides 6.0 continuing education credits (18.0 total) for a range of health workers, including physicians (AMA PRA category 1 CME), nurses (NE-MSD/ANCCC), certified therapeutic recreation specialists, yoga teachers, and some social workers and mental health counselors. Licensed occupational therapists may also receive professional development credits.

Join Chief of Faculty, Jay Gupta, RPh, 340B ACE, MTM Specialist, C-IAYT for a powerfully restorative educational experience! He is recognized by Cardinal Health, the National Alliance of State Pharmacy Associations and Next Generation Pharmacists/Pharmacy Times for excellence in integrative methods and reducing problematic polypharmacy.

Space is limited to maintain a small group experience.

Email RxRelax@live.com or call 603-674-3770 for more information or with any questions. 
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Your first name *
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Please provide phone number(s) with area code. Note: we may need to contact you on the weekend, since course takes place on saturdays. *
Please type the best email address to receive log-in details, how to prepare and continuing education-related info.   *
Please type the full mailing address you would like your  DVD and CDs sent to upon completion of the course. These will be mailed after the third session. *
Please list your job title(s) and name(s) of organization(s) where you provide services: *
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For those seeking CME/CE certificate, please type your full name and credentials in the way you'd like to appear on your certificate.
Please describe your experience/training regarding mindfulness and yoga. *
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In submitting this form, I understand that all live/enduring, in-person/virtual seminars and movement programs involve the risk of injury. By choosing to participate, I voluntarily assume any and all risks of injury on behalf of myself and persons in my care. I/we will not perform any movements which are painful or outside my/our body’s abilities. The offering  is intended solely for educational purposes and to enhance general health, and are not intended to diagnose, treat, cure, or prevent any disease. Nothing should be considered as medical advice for dealing with a given problem. You should always consult your health care professional for individual guidance for specific health concerns. I hereby, on my own behalf and on behalf of those in my care, my heirs, executors, administrators, and assigns, waive and release all rights and claims for damages I may have against the organizers and instructors, their parents, sponsors, subsidiaries or affiliates, employees, agents, successors, and assigns (collectively, the “Releasees”) for any injuries I allegedly incur as a result of my participation, whether caused by the Releasees’ negligence or any other person or cause. I permit the use of my name/image/comments in support of mindfulness and seated yoga.                                                                            PLEASE TYPE YOUR NAME BELOW TO AGREE. *
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