Pilates Fitness Evolution

Physical Therapy Center – Southfield, Michigan

17418 West 10 Mile Rd.
Southfield, MI 48075
(248) 552-1012

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      • Pilates Based Physical Therapy
      • Myofascial Release
      • Balance Therapy
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Forms

Pilates Waiver / Intake Form (Group Classes and Private Sessions)

If you will be taking a Pilates Class, please fill out the form by clicking the button below.

Pilates Waiver

 

Physical Therapy Form

This information requested in this form is required for anyone who will be receiving physical therapy. Please fill out the medical history and incident report as accurately as possible.

PT Form

 

Nutrition Coaching – Waiver and Informed Consent

Please consent to the information on this form in order to receive nutrition coaching.

Nutrition Consent Form

 

Nutrition Coaching – Questionnaire

This questionnaire concerns your nutritional and dietary habits.

Nutritional Questionnaire

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Latest news

  • 9 Benefits of a High Protein Diet January 10, 2021
  • 2021 Is the Year for GYROTONIC® and Pilates January 3, 2021
  • The GYROTONIC® and Nervous System Connection December 8, 2020
  • Pilates and Shoulder Surgery October 20, 2020
  • Pilates Before and After Hip Surgery September 4, 2020

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Contact Us

17418 West 10 Mile Rd. Southfield, MI 48075

Phone: (248) 552-1012
Fax: (248) 552-0657

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