Consent Form | Start Point Fitness

top of page

Dr Heather Nitschke, PT,DPT

Physical Therapist | Personal Trainer | Coach

Home
About
Services
- Consent Form
- Terms of Service
Heathers Holistic and Mindul Living Blog
- Instagram Feed
- photos
Contact
Shop
More

Use tab to navigate through the menu items.

Please provide your information

Email

First name

Last name

Check all that apply * Required

Head

Neck

MSK Injuries

Pregnancy

Stress

Diabetes

Cancer

Arthritis

Osteroporosis

Joint Swelling

Numbness

Recent surgery

Ehlors Danlos Syndrome

Phlebitis

Cardiac/Vascular problems

Lymphedema

Epilepsy/Seizures

Varicose Veins

High/Low Blood Pressure

Sensitivity to touch

TMJ

Artificial Joints

Congagious Skin Conditions

Open wounds/Sores

Bruise Easily

Carpal Tunnel Syndrome

Pacemaker

Recent Injury(less than a month)

Other (not listed)

Read Full Terms of Service

I agree to the terms & conditions

Thanks for submitting!

Female Veteran Owned and Operated

Contact

email: heathnit@gmail.com

Enter Your Name

Enter Your Email

Enter Your Subject

Message

Thanks for submitting!

bottom of page