Rolfing Structural Integration Consent and Intake Form

Please print and complete this form prior to your first Rolfing Structural Integration appointment or consultation.

Integrative Bodywork/Massage Consent and Intake Form

Please print and complete this form prior to your Integrative Bodywork/Massage appointment. 

HIPPA Privacy Policy

This notice describes how health information about you (as a client of this practice) may be used and disclosed and how you can get access to your individually identifiable health information. 

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SERVING CHATTANOOGA

Every body needs to know that physical health is not a luxury! Are you ready for transformation?

Rolfing® Structural Integration:

  The 10-Series

  Post 10 and 3-Series formats

Integrative Bodywork:

   Injury and Recovery

   Nerve Pain

   Massage

NAVIGATE

Chattanooga RIB • 100 Cherokee Blvd, Suite 2011 • CHATTANOOGA, TN 37405
SCHEDULE  CONTACT  (423) 228-0886
© 2018 EJMBodywork