Prenatal Pilates Medical Release Form

Before joining us for a Prenatal class, please chat with your care team about joining us.

Your Obstetrician / Midwife may have their own template which is fine to submit, otherwise please have them provide the below information. You can bring this along to your first class, or email it to us beforehand:

Y

BBPilates+Physio Medical Permission to Exercise

Date:____________

Patient Name:_________________ has no medical conditions that would limit or preclude her from participating in prenatal Pilates at BBPilates & Physio.

Dr. Signature: _________________

Dr. Na