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Jeanine DuBois ~ Compassion’s Doorway
www.compassions-doorway.com
jd@compassions-doorway.com
503-697-0586


Brain Gym® Session ~ Information and Release


Brain Gym, also referred to as Educational Kinesiology, is a unique merging of learning theory and applied kinesiology, as well as a synthesis of both ancient and modern disciplines. Developed by Paul Dennison, PhD. after more than 25 years of research and experimentation, Edu-K / Brain Gym provides a method for understanding, supporting, and often enhancing interconnections within the brain.

Both the lay person and the professional alike use educational kinesiology (Edu-K) to expand their human potential, and to allow the physical, mental, and emotional aspects of each person to function in a harmonious and integrated fashion. When people create goals and balance for these specific tasks and functions in their lives, they generally find the shift to living those goals comes quite easily.

Brain Gym has proven useful in assisting those with dyslexia, hyperactivity, and associated learning problems to function more comfortably and effectively. Neurophysiologist Carla Hannaford, PhD addresses this and the role of movement for brain function in her books Smart Moves: Why Learning is Not All in Your Head and Awakening the Child Heart.

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I understand and agree that
  • Brain Gym is an educational experience, and I’m participating in this session as a student of Jeanine DuBois.
  • Anything addressed or revealed is received by Jeanine with respect and will be held in honored confidence.
  • I am in total charge of my experience with Brain Gym.
    • So that she can be of maximum support to me, I will communicate to Jeanine:
      • any personal comfort preferences (temperature, lighting, water, restroom, blankets) as well as physical or emotional sensations, anything which seems important, surprising, uncomfortable, or delightful
      • any pertinent insights, observations, or requests - any guidance I sense about what might be helpful
  • Brain Gym helps me understand and integrate my own learning process and release any blocks to learning or any behaviors which may have prevented me from achieving my goals in the past.
  • No medical or psychological diagnosis, prognosis, treatment, or cure is expressed or implied by Brain Gym sessions facilitated by Jeanine. Any mental, emotional, or physical change I may experience is a result of my own ability to learn and grow.

Information and Release for: Brain Gym®
In formation and Release for: enter in box to right  "Brain Gym"
*Session Participant's full name and today's date:
*Email address:
Street Address:
*City, State, Zip Code, Country:
*Phone:
Clicking the Agree button below indicates you agree to all statements in this form.

It will send you to Jeanine's HIPAA / Privacy Policy form.
If you are a new client, please speak with Jeanine first.

Feel free to include a message to the right.
 
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Brain Gym is a registered trademark of the Educational Kinesiology Foundation / Brain Gym International.




 
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updated 1/4/2011



© 2007 Jeanine DuBois






© 2007 Jeanine DuBois