Kiva Movement Intake

1. Purpose of This Program

Kiva provides a movement-based program designed to help users improve mobility, flexibility, and overall physical function.

This beta program may include:

• Movement intake and self-reported assessments
• General movement analysis
• Personalized exercise and mobility recommendations

2. Nature of Services (Wellness vs. Medical Care)

Kiva provides movement-based programs focused on improving mobility, flexibility, and overall physical function.

I understand and agree that:

• During this beta program, I am participating in a wellness and movement program, not physical therapy or medical treatment.
• While Kiva may utilize licensed physical therapists to help guide recommendations, these interactions are not considered physical therapy services and do not constitute medical care in this context.
• Participation in this program does not establish a physical therapist–patient relationship.

I further understand that:

• If I require or seek physical therapy services, a separate evaluation, consent process, and formal clinical relationship would need to be established through Kiva or another provider of choice.
• Any transition to physical therapy services would be clearly communicated and documented separately.

3. No Medical Diagnosis or Treatment

I acknowledge that:

• I will not receive a medical diagnosis, treatment plan, or clinical care as part of this beta program.
• The recommendations provided are for general wellness and movement purposes only.
• If I am experiencing significant pain, injury, or worsening symptoms, I should seek care from a licensed healthcare provider before continuing.

4. Voluntary Participation

I acknowledge that:

• My participation in this program is completely voluntary.
• I am choosing to engage in physical activity at my own discretion.
• I am responsible for determining my own physical limits and stopping any activity that causes pain, discomfort, or concern.

5. Assumption of Risk

I understand that physical activity involves inherent risks, including but not limited to:

• Muscle soreness or strain
• Joint discomfort or injury
• Aggravation of pre-existing conditions

I knowingly and voluntarily accept all risks associated with participating in the Kiva program.

6. Release of Liability

To the fullest extent permitted by law, I agree to:

• Release and hold harmless Kiva, its founders, employees, contractors, and affiliates from any and all claims, liabilities, damages, or injuries arising out of or related to my participation in the program.

This includes, but is not limited to:

• Personal injury
• Worsening of existing conditions
• Any outcomes resulting from following recommendations provided

7. User Responsibility

I agree that I will:

• Provide accurate and truthful information in my intake form
• Use good judgment when performing exercises
• Stop any activity that causes significant pain or discomfort
• Seek medical attention if needed

8. Beta Program Acknowledgment

I understand that:

• This is an early-stage (beta) program
• Features, recommendations, and processes may evolve over time
• My feedback may be used to improve the product

9. No Guarantees

I acknowledge that:

• Kiva does not guarantee specific outcomes or results
• Improvements in mobility, pain, or performance are not guaranteed

10. Consent & Agreement

By signing below, I confirm that:

• I have read and understand this waiver
• I voluntarily agree to all terms
• I am at least 18 years old