Get Hellerwork Client Intake Form - Undulation Exercises

This guide is designed to assist users in completing the Hellerwork client intake form for undulation exercises online. By following these instructions, users can ensure they provide comprehensive and accurate information necessary for their intake process.

Follow the steps to complete the form efficiently.

1. Press the 'Get Form' button to access the intake form and open it in your preferred online editor.
2. Begin by filling out the client information section. This includes your name, address, birthdate, city, zip code, email, and phone numbers (home and work). Ensure all details are accurate for effective communication.
3. Indicate your preferred methods for receiving appointment confirmations and newsletters by selecting the appropriate options for email or phone.
4. Answer the question about how you heard about Hellerwork. This helps the practitioner understand how clients find their services.
5. Provide information about any previous bodywork you may have experienced and describe your current biggest concern in life.
6. Detail your current health situation by answering whether you are under a physician's care and listing any medications you take.
7. Reflect on your medical history by noting any serious accidents, broken bones, or surgeries, including dates and brief descriptions.
8. For each of the listed physical issues, indicate whether you experience poor posture, movement restrictions, tension, difficulty sleeping, or other problems, elaborating as necessary.
9. Discuss what you are currently doing to support your health and what specific outcomes you expect from Hellerwork.
10. Move to the consent section where you acknowledge and agree to the process involved in Hellerwork, understanding your rights and responsibilities as a client.
11. If applicable, provide your signature (or that of a guardian if you are a minor) and include the date.
12. Complete the second page by answering additional questions regarding your body and health priorities succinctly.
13. Finally, describe areas of pain, discomfort, or irritation in the chart provided and specify the sensations, frequency, and pain levels associated with these areas.
14. Once all sections are completed, review your responses for accuracy, then save your changes. You may choose to download, print, or share the form as needed.

Start filling out the Hellerwork client intake form online today for a smoother process.