DISTRICT ROLFING STRUCTURAL INTEGRATION
  • Home
  • Rolfing
    • The Rolfing SI 10-series
    • Rolfing for Pain Relief
    • What is a Rolfing session like?
  • Therapies
    • Visceral Manipulation
    • Neural Manipulation
    • Movement therapy
    • Craniosacral Therapy
  • Booking & Info
    • About Me
    • Testimonials
    • Intake forms
  • Resources
    • Blog
    • Recommended Practitioners
    • Posture and Alignment
    • Ergonomics
    • Community Resources
    • Pain Relief and Management

Client intake forms

Please print out these forms, complete them, and bring them with you to your first session.  

COVID screening questionnaire

district_rolfing_covid_screener.docx
File Size: 17 kb
File Type: docx
Download File

Medical history form

client_medical_condition_and_history.docx
File Size: 15 kb
File Type: docx
Download File

Consent form

si_district_rolfing_client_agreement.docx
File Size: 14 kb
File Type: docx
Download File

Proudly powered by Weebly
  • Home
  • Rolfing
    • The Rolfing SI 10-series
    • Rolfing for Pain Relief
    • What is a Rolfing session like?
  • Therapies
    • Visceral Manipulation
    • Neural Manipulation
    • Movement therapy
    • Craniosacral Therapy
  • Booking & Info
    • About Me
    • Testimonials
    • Intake forms
  • Resources
    • Blog
    • Recommended Practitioners
    • Posture and Alignment
    • Ergonomics
    • Community Resources
    • Pain Relief and Management