Postnatal Pilates Consent Form

If you are planning to book or have already booked a Pilates Session, please complete the below form.

This form is designed for those who gave birth in the last year. If your most recent birth was more than 1 year ago, please complete this form instead.

If you have any questions or issues, please contact info@rozphysio.co.uk


If already back, please give date returned, or N/A if not relevant


The following questions pertain to your recent birth and are relevant in regards to your hormone levels and overall recovery stage, as well as other factors that may impact your return to exercise.

eg. Vaginal +/- Ventouse / Forceps or Cesarean
Please include details about any tears / other complications, baby weight(s) etc.