• Medical Release Form

    Medical Release Form

    Presley Pilates, Washington DC

  • Welcome to Presley Pilates! Our Medical Release Form is based on the recommendations of the Pilates Method Alliance and the requirenments of our insurance provider. We kindly request you to fill out the form before your first appointment, so that we can learn about your health and be able to design safe and effective routines. 

  • Today's date*
     - -
  • Do you have any physical limitations, disabilities, ailments, or impairments which may affect your ability to participate in physical activity?*
  • Are you receiving medical treatment from a physician, physical therapist, or other medical professional?*
  • Do you have any of the following:*
  • If applies, are you pregnant, or planning to be pregnant soon?*
  • Do you take any medications?*
  • Should be Empty: