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New Client Info

When it’s permanent change that you seek,
For imbalances in your physique,
In both gravity and movement,
You’ll notice improvement,
Since the Rofling® technique is unique.

By Jenny Rock, Certified Advanced Rolfer™
All rights reserved (2014)

If this is your first session with us or if it has been over a year since you last came in, please PRINT AND FILL OUT the Health History form.

New Client Forms

Please bring these COMPLETED forms with you to your first session. If you need to fill them out at the office, notify your practitioner well in advance to allow for the extra time so it won’t shorten your session.

If we are billing your insurance, please also bring the correct and completed insurance form (below) as well. 

Health History (2 Pages)
Client Agreements (2 Pages)

If we are billing your insurance AT ALL (even just to eat up your deductible), you MUST bring us the completed and signed form below.

Health Insurance (1 Page)
Auto or Worker's Comp Insurance (1 page)

HIPAA – Notice of Privacy Practices

Do NOT bring this with you. This is only for you to have.

HIPPA Privacy Notice
Eat Light & Avoid Heavy Meals

A well-nourished body will respond better to Rolfing® and integrate the changes more efficiently.

  • Eat a light meal or snack about 1–2 hours before your session.
  • Avoid heavy, greasy, or overly filling meals that may make you uncomfortable while on the table.
  • If you tend to get low blood sugar, bring a healthy snack for after your session.
  • Dress appropriately for your session. (read below)

One of the things that separates Rolfing from other types of bodywork is the detailed assessment process we do before, during, and after each session. Therefore it is CRITICAL to wear undergarments that you are comfortable wearing and walking in (in the privacy of the room with just us). Undergarments are worn DURING the ENTIRE session. Contact your practitioner if you have any questions.

Breasts and Genitals must be covered at all times.

  • It’s best to wear a back clasping bra. DO NOT wear a t-back bra, as it blocks the spine.
  • Underwear is best if it’s cotton or a cotton blend, not a slick, synthetic material. It should also be loose enough for to work through or adjust slightly. Please avoid regular boxers (as they gap open), but boxer briefs, briefs, bikini, and even thong are fine. Feel free to bring several options with you.

What to do after a Rolfing® Session:

  1. HYDRATE – Some suggest drinking at least half your weight in ounces.  For example, if you weigh 200 lbs, you would drink 100 ounces.  
  2. WALK – Walking is probably the best integrative activity for you to do after a session. Sometimes the word “strolling” fits better than walking. A nice leisurely walk with mindfulness. A walking meditation. Give yourself time to notice what is different and what is new in your body as you walk. How do your legs feel? How do your feet feel on the ground? Are there differences between left and right? How does it feel to breathe? How do these shoes feel? Does your clothing fit differently? Pay attention to the things we talked about in your session. Practice moving into your body — all of it.
  3. ATTENTIVENESS – Pay attention to yourself throughout the day.  Just let yourself become more aware of your body. Take a deep breathe when you think of it or give yourself a cue to do it (when I stop at a red light I will take a deep breath). Scan through your body before going to sleep and upon waking. Start at your feet and move up to your head just checking in and being aware of what you feel in the different parts of your body. Don’t try to judge, just accept what is there.
  4. EPSOME SALT BATH – While soaking in a hot tub is lovely, it’s the Epsom salt that helps pull the toxins out of the body though a process called “facilitated diffusion.” So any time you’re feeling sore, try it….. you’ll like it. (Good post-exercise or cold prevention as well.)
  5. PHYSICAL ACTIVITY – Moderation is the key. Keep up your regular exercise pattern if you have one, don’t overdo it just because you feel better. Pay attention to how your body feels
    as you work out. Is it asking for you to do something differently? What can you change
  6. JOURNAL – Some find it useful to journal about a session and what came up for them. Images, memories, emotions, and ideas are some of the things that may come up during and after a session that people find useful to journal about. It is also a rich time to look at your dreams and add them to your journal. Also, everyday activities that seem to spark something in you, that seem to raise your level of awareness, are also good to add to the journal.
  7. HOMEWORK – It’s likely that your Rolfer® gave you some suggestions for what you can do to help your body moving forward. This could include stretches, exercises, heat, ice, changing footwear, changing pillows, and things like that. Please know that the homework we give is tailored to you specifically. We want you living your best life, not stuck in patterns that don’t serve you. So, do your homework!
 
More Insurance Info
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