Way of 4 Elements

Required Forms

If you are getting started with Way of 4 Elements, make sure to print and fill out the following forms.

You'll need Adobe Acrobat Reader. If you don't have it, you can get it free here.

Adults:

- Contact Information
- Consent
- Health History
- Liability Waiver
Minors:

- Contact Information
- Consent
- Health History
- Liability Waiver For Minors
If you fit into any of the following descriptions:

- Elevated cholesterol
- Sedentary lifestyle
- Male over 45 years of age
- Female over 55 years of age
- BMI of 30 or greater
- Cigarette smoker
- Metabolic disease
- High blood pressure or taking blood pressure medications
- CV disease
- Are pregnant

Please print out and have your doctor complete the Physician's Referral Form prior to beginning training.

- Physician's Referral Form