Spinal Energetics Pre-session form

Please complete this form before your appointment. Please answer honestly and contact me if you are unsure about anything.

A session may not be appropriate, or may need to be postponed, adapted or discussed further, if you have:

  • Severe asthma

  • Severe osteoporosis or significant bone fragility

  • A recent fracture, significant physical trauma or surgery

  • An unstable spine or significant spinal condition

  • Spinal cord compression, including Cauda Equina Syndrome

  • A spinal tumour

  • Severe disc herniation with neurological symptoms such as numbness or weakness

  • A previous cervical or vertebral artery dissection

  • A spinal fusion

  • A significant heart or cardiovascular condition

  • A blood-clotting disorder or history of blood clots

  • Severe epilepsy or tonic-clonic seizures

  • Significant joint conditions such as rheumatoid arthritis or ankylosing spondylitis

  • Active bone or joint infection

  • Cancer, particularly where there are bone metastases

  • Severe dissociation, psychosis or significant unmanaged mental-health difficulties

  • Severe PTSD with frequent or intense flashbacks or nightmares

  • A current mental-health crisis

  • Recent significant trauma, bereavement, abuse or assault

  • Current substance misuse

  • An unsafe or unstable living situation

  • Pregnancy or recent childbirth

Certain medications may also require consideration, particularly those affecting blood clotting, bone density or brain chemistry.

If any of these apply to you, please disclose them below rather than assuming that you cannot receive a session.