Prenatal Pilates Medical Release Form
Your Obstetrician / Midwife may have their own template which is fine to submit, otherwise please have them provide the below information:
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