Intake and Consent Form (all services)

Please print and complete this form prior to your first appointment. You may also do so at the office.

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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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



Chattanooga RIB • 100 Cherokee Blvd, Suite 2011 • CHATTANOOGA, TN 37405
SCHEDULE  CONTACT  (423) 228-0886
© 2020 EJMBodywork