Incorporating the content of the previous three levels, students embrace a total overview of the body/mind/spirit energy to effectively meet clinical challenges that may arise in their practice. Additional tools of Extraordinary Vessel Theory along with extensive Clinical Supervision and Discussion bring students to the place where they can confidently integrate HeartMind Shiatsu services in a professional clinical setting. With successful completion of this level students earn a certificate of satisfactory completion of the HeartMind Shiatsu Basic Training.